Traumatic bicycle handlebar hernia.

High velocity impact by handlebar is a rare cause of abdominal wall hernia following blunt trauma. We report a case of bicycle handlebar induced traumatic hernia with jejunal perforation. This case demonstrates that presentation of a traumatic hernia can be delayed and that computed tomographic scanning is useful in confirming the diagnosis. Surgical exploration with primary repair of the defect is the definitive treatment in cases of traumatic hernia.

Azathioprine and cyclosporin: different tissue matching criteria needed?

Of 275 renal transplants performed over seven years in a single unit, azathioprine was the main immunosuppressive agent in 128 and cyclosporin in 147. With azathioprine graft survival was, as expected, negatively related to the number of HLA mismatches; with cyclosporin the reverse held true.