シートベルト着用に起因する小腸損傷の４例

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  • REPORT OF FOUR CASES OF RUPTURE OF THE SMALL INTESTINE IN AUTOMOBILE DRIVERS WITH SEATBELT

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Although it is necessary to wear seat belt to decrease serious head and chest injuries caused by motor vehicle accidents, seat belt injuries such as intestinal injuries are increasing instead. From January 2001 to December 2003, we had experience in treating four cases of small intestinal injuries related to seat belts. All of the patients were drivers. There were diagnostic delay in three patients because the signs of peritonitis were obscure and neither radiographic examination nor laboratory data showed abnormal findings on admission. But abdominal pain continued and free air and fluid were seen in abdominal cavity on CT after admission to our hospital, surgery was done under a diagnosis of peritonitis due to perforated viscus. Small intestinal perforations were found and partial resection or simple closure of small intestine were performed. When we see the patients with motor vehicle accidents with marks of seat belt, careful clinical examination and observation are needed not to miss the signs of peritonitis due to intestinal perforation.

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