Complete small bowel transection following lap-belt injury

Hall, C. E. J.; Norton, Sam; Dixon, A. R.

doi:10.1016/s0020-1383(00)00188-1

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…Grossly, the seromuscular tear in the colon usually develops at the junction of its outer wall with the antimesenteric taeniae and, in the small bowel, on its antimesenteric side. The tear can spread circumferentially to involve the entire circumference of the bowel wall [4]. Seromuscular tears are the most common lesion found in intestinal traumatic injury related to seatbelt injury and 73% occur in the large bowel, where tears are thought to originate from taeniae coli undergoing friction on the peritoneal surface of the abdominal wall.…”

Section: Discussionmentioning

confidence: 99%

Severe abdominal injuries sustained in an adult wearing a pelvic seatbelt: a case report and review of the literature

2008

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In automobile accidents, the "seatbelt syndrome" (SBS) consists of a constellation of injuries, predominantly involving thoraco-lumbar vertebral fractures and intraabdominal organ injury. A recent amendment to Irish legislation has made the wearing of seatbelts mandatory for all rear seated passengers in an effort to protect children. Whilst rear seatbelts result in a significant reduction in morbidity and mortality following road traffic accidents (RTA), we present a case in which the rear lap seatbelt caused severe abdominal injuries. It is evident that the current rear seat lapbelt system is an inferior design associated with a significant morbidity and mortality when compared to three-point harness system and consideration should be given to replacing them in all motor vehicles.

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Section: Discussionmentioning

confidence: 99%

Severe abdominal injuries sustained in an adult wearing a pelvic seatbelt: a case report and review of the literature

2008

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“…The lap belt sign is seen above the proper position, which is the level of the anterior superior iliac spines. Complete transverse transection of the rectus muscles was described before [5], but with no mention that this was the main contributor to the patient's hemoperitoneum. In our case, the transected muscle was identified as the only source of bleeding leading to hemorrhagic shock.…”

Section: Discussionmentioning

confidence: 99%

Massive Hemoperitoneum Caused by Complete Transection of the Rectus Abdominis Muscle

Shaked

Czeiger

Hartzanu

et al. 2003

European Journal of Trauma

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The introduction of restraint devices in cars diminished tremendously the mortality caused by motor vehicle accidents. Hand-in-hand with the decline in mortality, a wide spectrum of injuries associated with the use of seat belts has been documented. In this case report we describe a patient who presented with massive hemoperitoneum caused by complete transection of the rectus abdominis muscle due to seat belt injury. To our knowledge, this complex of injury has never been reported before. However, the lesson should be that although such injury of the rectus abdominis muscle can lead to hemoperitoneum and is possible to be diagnosed by computerized tomographic scan, it should be referred to as a warning sign, which requires searching further for other severe intraabdominal injuries.

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Injuries Sustained by Motor Vehicle Occupants

2006

Forensic Medical Investigation of Motor Vehicle Incidents

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Complete small bowel transection following lap-belt injury

Cited by 3 publications

References 4 publications

Severe abdominal injuries sustained in an adult wearing a pelvic seatbelt: a case report and review of the literature

Severe abdominal injuries sustained in an adult wearing a pelvic seatbelt: a case report and review of the literature

Massive Hemoperitoneum Caused by Complete Transection of the Rectus Abdominis Muscle

Injuries Sustained by Motor Vehicle Occupants

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