Table 1.

Previously published cases on handlebar hernia

Age/sex	Reference	Traumatising agent	Injury location	Surgical management
14/M	Landry (1956) [10]	Motorcycle handlebar	LLQ	Laparotomy and layered closure
9/M	Roberts (1964) [11]	Bicycle handlebar	LLQ	Layered closure
9/F	Maunola and Kekomaki (1965) [12]	Bicycle handlebar	LLQ	Exploratory laparotomy, repair of muscle and sheath
8/F	Pendl (1970) [13]	Bicycle handlebar	RLQ	Layered closure
7/M	Herbert and Turner (1973) [14]	Bicycle handlebar	LLQ	Layered closure
6/M	Atiemo and Goswami (1974) [15]	Gored by a cow	LLQ	Layered closure
4/F	Hollwarth (1977) [16]	Scooter handlebar	RLQ	Layered closure
6/M	Hollwarth (1977) [16]	Bicycle handlebar	RLQ	Closure
7/M	Hollwarth (1977) [16]	Bicycle handlebar	LUQ	Closure
13/M	Hollwarth (1977) [16]	Bicycle handlebar	Symphysis pubis	Closure
11/M	Dreyfuss et al. (1986) [17]	Bicycle handlebar	Rectus abdominis	Debridement and layered closure
8/M	Schneegans (1988) [18]	Bicycle handlebar	RLQ	Appendectomy, layered closure
7/M	Mitchiner (1990) [19]	Bicycle handlebar	LUQ	Reduction of bowel and layered closure
5/M	Damschen et al. (1994) [20]	Bicycle handlebar	RLQ	Reduction of bowel and layered closure
6/M	Kubalak (1994) [21]	Gored by a cow	RLQ	Closure
8/M	Kubalak (1994) [21]	Bicycle handlebar	RLQ	Layered closure
9/F	Kubalak (1994) [21]	Bicycle handlebar	RLQ	Closure
7/M	Iuchtman et al. (1997) [22]	Bicycle handlebar	RLQ	Closure
11/M	Perez et al. (1998) [23]	Bicycle handlebar	LLQ	Laparotomy and layered closure
9/M	Kubota et al. (1999) [3]	Bicycle handlebar	RLQ	Reduction of bowel and layered closure
11/M	Fraser et al. (2002) [7]	Bicycle handlebar	RLQ	Layered closure
7/M	Mancel and Aslam (2003) [5]	Bicycle handlebar	LLQ	Layered closure
11/M	Goliath et al. (2004) [24]	Bicycle handlebar	RLQ	Layered closure
7/M	van Bemmel et al. (2009)	Bicycle handlebar	Rectus abdominis	Layered closure