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Seat Belt Aortic Dissection: A Case Report
Mohamed Ahmed1, Ahmed Mahmoud2, Michael Samotowka3
1Surgery, University of California, Riverside, USA.
Cureus
|July 23, 2019
Summary
A severe motor vehicle accident caused a rare seatbelt injury triad in an 18-year-old driver. Prompt surgical and endovascular interventions led to a successful recovery from this potentially fatal condition.
Area of Science:
- Trauma surgery
- Vascular surgery
- Abdominal surgery
Background:
- Motor vehicle accidents (MVAs) are a leading cause of trauma.
- Restrained occupants can sustain significant injuries despite safety measures.
- Seatbelt-induced injuries, though uncommon, can be severe and multi-systemic.
Observation:
- An 18-year-old male driver, restrained during a rollover MVA, presented with a seatbelt injury triad.
- This triad included rectus abdominis muscle disruption, sigmoid colon injury, and infra-renal aortic dissection.
- The patient was hemodynamically stable upon presentation.
Findings:
- Successful surgical resection of the injured sigmoid colon was performed.
- Repair of the rectus abdominis muscle disruption was achieved.
- Endovascular repair of the infra-renal aortic dissection was successfully completed.
Implications:
- This case highlights the potential for severe, multi-organ injuries from seatbelt use in rollover accidents.
- It underscores the importance of prompt diagnosis and multi-disciplinary surgical intervention for seatbelt injury triads.
- Early recognition and management are crucial for favorable outcomes in these rare but life-threatening injuries.
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