Citation

Parrish DW, Barnhorst A, Trebska-McGowan K, Amendola M, Haynes JH. Ann. Vasc. Surg. 2015; 29(6): 1316.e1-13166.

Affiliation

Virginia Commonwealth University Department of Surgery; Children's Hospital of Richmond. Electronic address: jhaynes@mcvh-vcu.edu.

Copyright

(Copyright © 2015, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1016/j.avsg.2015.02.019

PMID

26028461

Abstract

"Seat belt syndrome" was first described by Garret and Braunstein in 1962. The syndrome involves skin and abdominal wall ecchymosis (seat belt sign) intra-abdominal solid organ and visceral injuries, as well as Chance fractures (compression/wedging deformity of the anterior portion of the vertebral body with disruption or fracture of the posterior elements, generally at L1-L3). We present a case of a 12-year-old male involved in a high speed motor vehicle collision wearing only a lap belt resulting in seat belt syndrome, with disruption of the abdominal wall, mesenteric avulsion with multiple intestinal perforations, abdominal aortic dissection, and an L2 Chance fracture with cord transection. Intraoperative decision making is outlined with this scenario of complex injuries, and the literature of seat belt syndrome associated with blunt aortic injuries and its management is reviewed.

Language: en