@article{ref1,
title="Motor vehicle collision with seatbelt sign and traumatic abdominal wall hernia should raise suspicion for hollow viscus injury",
journal="Trauma case reports",
year="2019",
author="D'Elia, Michael A. and Grant, R. Ian and Kolozsvari, Nicole O. and Matar, Maher M.",
volume="22",
number="",
pages="e100206-e100206",
abstract="Diagnosing hollow viscus injury following motor vehicle collision (MVC) requires a high index of suspicion. Here we present two cases of high velocity MVC, with 3-point restrained occupants, who presented with a seatbelt sign and associated acute traumatic flank herniation. Both patients underwent a computer tomography (CT) scan which did not identify any hollow viscus injuries. Significant injuries were ultimately identified in the operating room (OR). The presence of a seatbelt sign and underlying acute traumatic hernia should prompt a heightened level of suspicion for intra-abdominal injury, particularly hollow viscus. A heightened level of suspision and a lower threshold for operative exploration is suggested to avoid the morbidity and mortality associated with a delayed diagnosis of hollow viscus injury.<p /> <p>Language: en</p>",
language="en",
issn="2352-6440",
doi="10.1016/j.tcr.2019.100206",
url="http://dx.doi.org/10.1016/j.tcr.2019.100206"
}