The triad of seatbelt-related severe abdominal wall disruption, hollow viscus injury, and distal abdominal aortic injury after a motor vehicle collision is uncommon. We present a small case series involving those three clinical features with the goal of preventing a future missed diagnosis of the distal abdominal aortic injury in particular.
Get full access to this article
View all access options for this article.
References
1.
AchildiO., BetzR.R., GrewalH.Lapbelt injuries and the seatbelt syndrome in pediatric spinal cord injury.J Spinal Cord Med2007; 30: s21–4.
2.
KhannaP.C., RothenbachP., GuzzettaP.C., BulasD.I.Lap-belt syndrome: management of aortic intimal dissection in a 7-year-old child with a constellation of injuries.Pediatr Radiol2007; 37: 87–90.
3.
ShepherdM., HamillJ., SegedinE.Pediatric lap-belt injury: a 7 year experience.Emerg Med Australas2006; 18: 57–63.
4.
YulevichA., Singer-JordanJ., GrozovskyY.Traumatic abdominal aortic dissection in a child.J Trauma2007; 62: 1039–41.
5.
MulpuriK., ReillyC.W., PerdiosA.The spectrum of abdominal injuries associated with Chance fractures in pediatric patients.Eur J Pediatr Surg2007; 17: 322–7.
6.
SantschiM., EchaveV., LaflammeS.Seat-belt injuries in children involved in motor vehicle crashes.Can J Surg2005; 48: 373–6.
7.
LutzN., NanceM.L., KallanM.J.Incidence and clinical significance of abdominal wall bruising in restrained children involved in motor vehicle crashes.J Ped Surg2004; 39: 972–5.
8.
CampbellD.J., SprouseL.R.I.I., SmithL.A.Injuries in pediatric patients with seatbelt contusions.Am Surg2003; 69: 1095–9.
9.
SlavinR.E., BorzottaA.P.The seromuscular tear and other intestinal lesions in the seatbelt syndrome: a clinical and pathologic study of 29 cases.Am J Forensic Med Pathol2002; 23: 214–22.
10.
LaneJ.The seatbelt syndrome in children.Accid Anal Prev1994; 26: 813–20.
11.
HoffmanM.A., SpenceL.J., WessonD.E.The pediatric passenger: trends in seatbelt use and injury patterns.J Trauma1987; 27: 974–6.
12.
NewmanK.D., BowmanL.M., EichelbergerM.R.The lap belt complex: intestinal and lumbar spine injury in children.J Trauma1990; 30: 1133–8.
JohnstoneB.R., WaxmanB.P.Transverse disruption of the abdominal wall_a tell-tale sign of seatbelt-related hollow viscus injury.Aust N Z J Surg1987; 57: 455–60.
22.
EspositoT.J., FedorakI.Traumatic lumbar hernia: case report and literature review.J Trauma1994; 37: 123–6.
23.
BrennemanF.D., BoulangerB.R., AntomyshynO.Surgical management of abdominal wall disruption after blunt trauma.J Trauma1995; 39: 539–45.
24.
ChandlerC.F., LaneJ.S., WaxmanK.S.Seatbelt sign following blunt trauma is associated with increased incidence of abdominal injury.Am Surg1997; 2: 885–9.
BurtB.M., AfifiH.Y., WantzG.E., BarieP.S.Traumatic lumbar hernia: report of cases and comprehensive review of the literature.J Trauma2004; 57: 1361–70.
27.
MahajnaA., OferA., KrauszM.M.Traumatic abdominal hernia associated with large bowel strangulation: case report and review of the literature.Hernia2004; 8: 80–2.
DennisR.W., MarshallA., DeshmukhH.Abdominal wall injuries after blunt trauma: incidence and grading system.Am J Surg2009; 197: 413–7.
31.
ChanceG.Q.Note on a type of flexion fracture of the spine.Br J Radiol1948; 21: 249–50.
32.
TeruyaT.H., BianchiC., Abou-ZamzamA.M.Endovascular treatment of a blunt traumatic abdominal aortic injury with a commercially available stent graft.Ann Vasc Surg2005; 19: 474–8.
