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Rupture of the Duodenum Produced by a Safety Belt
1University of Melbourne Department of Surgery, Royal Melbourne Hospital.
Abstract:
The case report of a patient who sustained a traumatic rupture of the first part of the duodenum as a result of the restraint produced by a seat belt is presented. The literature on closed rupture of the duodenum is reviewed, and the possible mechanism of injury is discussed.
Summary:
A case of closed rupture of the first part of the duodenum as the result of injury due to the restraint produced by a safety belt is presented. The literature on closed rupture of the duodenum and seat belt injuries is briefly reviewed. The possible mechanisms of injury to the duodenum are discussed. The considered evidence in this case suggests that the body was thrown on to the loose safety belt, sustaining a blow to the right hypochondrium during a period in which the duodenum was distended, with the consequent production of explosive rupture of its first part.
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