A Clinical Study on 14 Caces of Intestinal Perforation due to Seatbelt Injury

DOI

Bibliographic Information

Other Title
  • シートベルトによる腸管穿孔症例の検討

Abstract

<p>Herein, we review the data of 14 cases of intestinal perforation caused by seatbelt injury sustained in a road traffic accident. Our subjects consisted of 11 men and 3 women, with an average age of 49 years. In all the cases, the accident occurred while the patient was riding in a four-wheeled vehicle；in all the cases, the subjects wore a seatbelt. The“seatbelt sign” was recognized in 10 of the patients. Five of the patients were in shock at the time of arrival at the hospital because of abdominal hemorrhage caused by mesenteric vessel injury. Two cases developed delayed perforation. We could not detect free-air in the abdominal cavity on the computed-tomographic (CT) images in these two cases. All the patients required open surgery. Five patients were diagnosed as having a single intestinal perforation, while 9 had multiple injury. There was one death. Our findings suggest a strong association between the occurrence of intestinal perforation and wearing of a seatbelt. In some cases, free air in the abdominal cavity could not be detected at the time of the initial CT, or the；patients developed intestinal perforation after a time lapse. On the basis of our findings, we would like to emphasize that doctors should be careful when diagnosing cases of blunt abdominal trauma. In addition, the intestinal perforations tend to multiply, and care should be taken not to overlook this while undertaking surgical treatment.</p>

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Details 詳細情報について

  • CRID
    1390282679715351552
  • NII Article ID
    130005462597
  • DOI
    10.11231/jaem.36.1173
  • ISSN
    18824781
    13402242
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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