A case of seat belt injury of the breast accompanied by hemorrhagic shock during antiplatelet therapy

Transcatheter Arterial Embolization for Intramammary Hemorrhage Caused by a Seat Belt Injury: Case Series Including Experience with N-butyl-2-cyanoacrylate

“…Although seat belt injuries are common, intramammary hemorrhage is rare, and no treatment strategy has been established. In Japan, for example, conservative treatment, surgery, and TAE have been reported in patients with and without shock [3,5,6]. Intramammary bleeding can cause shock and compartment syndrome as in previous cases and in cases of the present report, and active bleeding as described in the classification established by Majeski [2] should be considered for aggressive therapeutic intervention.…”

“…Although seat belts have reduced the number of fatalities in traffic accidents, seat belts are also known to cause injuries [1]. Seat belt-induced injury of the breast is also known to rarely occur, and it may result in shock and even death [2,3]. Majeski [2] proposed a classification system that can be used to establish a management policy for seat belt injury of the breast; however, the most effective intervention method has not been established.…”