ヘリカルCT検査が診断に有用であった3点式シートベルトによる小腸穿孔の4例

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  • PERFORATION OF THE SMALL INTESTINE CAUSED BY SEAT BELT WITH THREE POINT SUPPORTS-REPORT OF FOUR CASES-

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Four cases of perforation of the small intestine caused by seat belt with three point supports are reported.<br> Patient 1, a 79-year-old woman, was revealed having a very small amount of intraabdominal free air on a CT scan. It was found that a perforation was present 220cm oral to the terminal ileum. Patient 2, a 55-year-old man, was revealed having intraabdominal fluid retention and intraabdominal free air on a CT scan. A small bowel perforation was located 160cm oral to the terminal ileum. Patient 3, a 22-year-old man, was revealed to have intraabdominal free air by a CT scan and thoracoabdominal simple x-ray film. A small bowel perforation was present 30cm anal to the Treitz' ligament. Patient 4, a 61-year-old man, was revealed to have fluid retention and intraabdominal free air on a CT scan, whose perforation was present 180cm anal to the Treitz' ligament. In all patients the perforated sites were sutured. Postoperative course was uneventful in all patients. In case of small bowel perforation, intraabdominal free air is minute in amount and helical CT is of great value to visualize it early. It is thought that the seal belt supported at three points can cause perforation of the small intestine, in that further consideration to device some seat belt with four or five point supports would be necessary.

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