PMC6037005_01
Handlebar sign - bruising in the left lumbar region (white arrow).
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Abdominal inspection showed a circular bruise in his left lumbar region- the "handlebar sign" (Fig. 1).
CT-Abdomen showing abdominal wall hernia containing a loop of sigmoid colon (white arrow).
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An abdominal CT scan was performed and this revealed a left abdominal wall hernia containing a loop of sigmoid colon (Fig. 2).
Laparoscopic view of the handlebar hernia containing omentum and sigmoid colon prior to reduction (A) and post-reduction (B).
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The patient promptly proceeded to have a diagnostic laparoscopy, which confirmed the presence of a left sided abdominal wall hernia containing a loop of sigmoid colon and omentum (Fig. 3).