@article{ref1,
title="Blunt abdominal trauma due to handlebar injury",
journal="Revista Chilena de pediatría",
year="2020",
author="Irarrázaval Mainguyague, María Jesús and Pattillo Silva, Juan Carlos and Vuletin Solís, Fernando and Loyola Zunino, María Soledad and Kychenthal Loyola, Catalina and Sáez Binelli, Josefina",
volume="91",
number="5",
pages="754-760",
abstract="INTRODUCTION: Bicycle accidents are a frequent cause of blunt abdominal trauma in children. In Chile, there are no scientific articles about such accidents, their  presentation and management. <br><br>OBJECTIVE: The aim of this study is to describe three  cases of blunt abdominal trauma due to handlebar injury in children, in order to  illustrate the different kinds of lesions, their presentation, and management. CLINICAL CASES: 1) 11-year-old boy presented to Emergency Department (ED) after  falling on a bi cycle handlebar, hitting his epigastric region. A CT scan showed  signs of duodenal perforation. A la parotomy was performed and the duodenal  perforation repaired. 2) 14-year-old boy seen at ED after a bicycle accident in  which the handlebar hit him in the abdomen area. A CT scan showed a splenic injury  with multiple lacerations and active bleeding that was treated with  angioembolization. After 6 weeks of follow-up, he presented resolution of the lesion  and viability of the spleen. 3) 9-year-old boy admitted due to a hit with the  bicycle handlebar on the abdomen area. A CT scan showed a he patic injury that was  managed with non-surgical procedures, achieving resolution of the lesion after 8  weeks of follow-up. <br><br>CONCLUSION: Blunt abdominal trauma caused by handlebar can be  potentially serious in pediatric patients, since it may affect solid and hollow  abdominal viscera. Non-surgical ma nagement is becoming more used for stable  patients, achieving high success rates. Unstable patients or those with suspicion of  hollow viscera perforation will require surgery as first approach.<p /> <p>Language: es</p>",
language="es",
issn="0370-4106",
doi="10.32641/rchped.vi91i5.1568",
url="http://dx.doi.org/10.32641/rchped.vi91i5.1568"
}