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Appendiceal transection in a child associated with a lap belt restraint: case report
1Section of Pediatric Surgery, University of Michigan Medical School, Ann Arbor.
The Journal of Trauma
|November 1, 1992
Insights
Lap belt restraints can cause severe injuries, known as seatbelt syndrome. This case highlights appendiceal transection, a rare but serious injury in children from lap belts.
Area of Science:
- Trauma surgery
- Pediatric surgery
- Abdominal trauma
Background:
- Seatbelt syndrome describes injuries from lap belts.
- Common injuries include intestinal and mesenteric damage, and lumbar spine trauma.
Observation:
- A case of appendiceal transection was observed.
- This injury was directly associated with a lap belt restraint.
- The patient was a small child.
Findings:
- Appendiceal transection is a previously unreported injury within seatbelt syndrome.
- Lap belt restraints can cause unique and severe gastrointestinal injuries in pediatric patients.
Implications:
- Highlights the potential for severe, specific injuries from lap belts in children.
- Emphasizes the need for vigilance in diagnosing seatbelt-related abdominal trauma.
- Informs trauma management protocols for pediatric lap belt injuries.
Abstract:
The seatbelt syndrome refers to the spectrum of injuries associated with lap belt restraints and includes intestinal tears, perforations, and transections; mesenteric disruptions; and lumbar distractions, dislocations, and fractures. We report a case of appendiceal transection associated with a lap belt restraint in a small child.