Seat belt sign and its significance

Agrawal, Amit; Inamadar, Praveenkumar Ishwarappa; Subrahmanyam, B. V.

doi:10.4103/2249-4863.120769

Cited by 9 publications

(4 citation statements)

References 17 publications

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“…Unintentional injury is the predominant cause of death among children aged 1–19 years in the United States, with MVAs being the most frequent etiology [ 15 ]. While widespread use of safety restraints for motor vehicle passengers has contributed to a 41% decrease in death rates over time [ 15 ], the so-called “seatbelt sign” where bruising is present over the chest and abdomen in the distribution of a safety belt has been associated with blunt abdominal trauma and injury to abdominal organs, inclusive of hollow viscera [ 16 , 17 , 18 ]. Pediatric blunt trauma accounts for 80–90% of pediatric abdominal injuries [ 7 ] and is most frequently associated with MVAs, but other mechanisms have been well described, such as injury secondary to bicycles, the so-called “handlebar injury”, falls onto blunt objects, sports and non-accidental trauma [ 3 , 19 , 20 , 21 ].…”

Section: Resultsmentioning

confidence: 99%

Gastrointestinal Perforation with Blunt Abdominal Trauma in Children

Staab,

Naganathan,

McGuire

et al. 2024

Children

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Gastrointestinal tract perforation is uncommon in children, accounting for <10% of cases of blunt abdominal trauma. Diagnosis of bowel perforation in children can be challenging due to poor diagnostic imaging accuracy. Intra-abdominal free air is found only in half of the children with bowel perforation. Ultrasound findings are nonspecific and suspicious for perforation in only two-thirds of cases. A computer tomography (CT) scan has a sensitivity and specificity of 50% and 95%, respectively. Surgical decisions should be made based on clinical examination despite normal CT results. Management of bowel perforation in children includes primary repair in 50–70% and resection with anastomosis in 20–40% of cases.

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Section: Resultsmentioning

confidence: 99%

Gastrointestinal Perforation with Blunt Abdominal Trauma in Children

Staab,

Naganathan,

McGuire

et al. 2024

Children

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“…A seat belt sign may signify deeper injuries of greater concern often involving the bowel, mesentery, solid organ, chest wall, and/or lumbar spine. In patients who survive an MVC, the presence of a seat belt sign has been associated with increased incidence of hollow viscus injury by eight times, solid organ by 5.7 times, and ribs by 2.4 times relative to those without a seat belt sign [ 6 ]. Altogether, the appearance of a seat belt sign with intra-abdominal and/or spinal injuries is referred to as “seat belt syndrome” (SBS) [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Botox, Abdominal Wall Transection, and Body Positioning: A Case of Complex Abdominal Wall Reconstruction With Seat Belt Syndrome

Head¹,

Thomas²,

Eriksson³

2021

Cureus

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Seat belt syndrome (SBS) represents all injury profiles associated with seat belt injuries and motor vehicle crashes (MVCs). Seat belt syndrome classically presents with a superficial seat belt sign that may signify deeper intra-abdominal and/or spinal involvement. The amount of force transmitted from the restraint to the passenger ultimately dictates the amount and severity of the injury. We present a unique case of a 59year-old female involved in a motor vehicle crash with multiple traumatic injuries, including seat belt syndrome, abdominal wall transection, and bowel injuries. She later had reconstruction of her traumatic abdominal wall hernias (TAWHs). Three unique approaches were used in the management of her traumatic abdominal wall hernias: (1) preoperative Botulinum toxin (Botox) injections, (2) operative use of biologic and bioabsorbable meshes in contaminated fields, and (3) postoperative physical therapy and body positioning. The patient did not experience any recurrence of these hernias after her abdominal wall reconstruction and remains alive at the time this case was written. The diagnostic criteria and surgical management of traumatic abdominal wall hernias have yet to be established, and the case presented here provides approaches that should serve as future areas for study.

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“…The syndrome was first described in 1962 by Garrett and Braunste, 1 whereas the term "seat-belt sign" was coined by Doersch and Dozier. 2 A seat-belt sign comprises contusions and abrasions on the abdomen of a restrained occupant involved in a motor vehicle crash. The mechanism of this injury may be related to the compressive and shearing forces generated by forward propulsion of the torso against the seatbelt, and the concomitant sudden and explosive elevation of intra-abdominal pressure.…”

Section: Introductionmentioning

confidence: 99%

Occult Perforation with Circumferential Ischaemic Injury of the Sigmoid Colon following Seat-Belt Trauma: A Case Report

Th¹,

Chang

Yeh

et al. 2017

Hong Kong Journal of Emergency Medicine

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Seat-belt syndrome is defined as the presence of a seat-belt sign predominantly involving thoracolumbar vertebral fractures and intra-abdominal organ injury following the use of a seat belt during a traffic collision. Isolated sigmoid colon perforation occurring as part of seat-belt syndrome is rare. We report a 34-year-old patient who presented seat-belt sign after his car collided with a guardrail. The patient was initially haemodynamically stable and complained lower abdomen pain. Serial clinical examination with abdominal computed tomography (CT) scans illustrated sigmoid colon with ischaemic change without perforation. Exploratory laparotomy was performed and isolated sigmoid colon perforation was diagnosed. Therefore, in cases of persistent abdominal pain or tenderness despite an initially negative CT scan, repeated examinations of the abdomen with following abdominal CT are recommended because of the high risk of seat-belt sign and the possibility that the peritoneal symptoms can be hidden, such as in the retroperitoneal duodenum or sigmoid colon. Thus, we recommend using repeat abdominal CT as an adjunct to secondary survey for clarifying the haemodynamic status of patients with seat-belt trauma. (Hong Kong j.emerg.med. 2017;24: 100-103)

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Seat belt sign and its significance

Cited by 9 publications

References 17 publications

Gastrointestinal Perforation with Blunt Abdominal Trauma in Children

Gastrointestinal Perforation with Blunt Abdominal Trauma in Children

Botox, Abdominal Wall Transection, and Body Positioning: A Case of Complex Abdominal Wall Reconstruction With Seat Belt Syndrome

Occult Perforation with Circumferential Ischaemic Injury of the Sigmoid Colon following Seat-Belt Trauma: A Case Report

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