@article{ref1,
title="A case of seatbelt-induced mesenteric injury and delayed colon ischemia after a car accident",
journal="Ulusal travma ve acil cerrahi dergisi",
year="2024",
author="Celik, Burak and Toprak, Safa and Yeşilsoy, Mesut and Özata, İbrahim Halil",
volume="30",
number="2",
pages="142-145",
abstract="Trauma is the sixth leading cause of death globally and the leading cause of morbidity and mortality in young patients. Blunt bowel and mesenteric injuries are rare, occuring in only 1-5% of blunt abdominal traumas, and are associated with high morbidity and mortality. In this report, we present a case of a patient with sigmoid colon perforation due to ischemia caused by mesenteric injury, who was admitted to the hospital with abdominal pain two days after a car accident. A twenty-one-year-old man was admitted to the emergency department with abdominal pain and vomiting, having been involved in a car accident as a driver two days prior. Computed tomogra-phy revealed free air in the abdomen, originating from the perforation of the sigmoid colon wall, and free fluid in the pelvic area. The patient underwent immediate laparotomy. Exploration revealed a rupture in the sigmoid mesocolon, causing ischemia and perforation. Additionally, there was a rupture in the mesentery of the terminal ileum close to the ileocecal valve, but without ischemia. Partial sig-moid colon and ileal resections were performed, followed by colocolic anastomosis and double-barrel ileostomy. He was discharged in good health after a 20-day hospital stay. Thorough clinical examination and radiological evaluation can aid in detecting visceral injuries in trauma patients. Early recognition and repair of intestinal damage can prevent severe complications.<p /> <p>Language: en</p>",
language="en",
issn="1306-696X",
doi="10.14744/tjtes.2024.65357",
url="http://dx.doi.org/10.14744/tjtes.2024.65357"
}