Seatbelt: A Double-Edged Sword

Intra-abdominal vascular injury due to blunt trauma is unusual in children. Due to its rarity, detailed reports dealing with its management are scarce in paediatric literature. Diagnosis of these injuries is challenging, and a high degree of awareness is necessary for rapid identification and treatment of these injuries. We report the case of a child with seatbelt sign and mesenteric vein injury due to blunt trauma to the abdomen during a motor vehicle accident where the seatbelt was incorrectly placed. She also sustained cervical vertebral injury. The pattern of injuries in children in these situations may differ from that found in adults. While seatbelts have undoubtedly saved many lives, awareness about correct placement of these restraints is extremely necessary.

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Traumatic cataract secondary to blunt trauma in motor vehicle accident

Visual Journal of Emergency Medicine ◽

10.1016/j.visj.2017.01.016 ◽

2017 ◽

Vol 8 ◽

pp. 3-4

Author(s):

Brian C. Fiore ◽

Nicolay F. Hernandez ◽

Jeffrey Lazar

Keyword(s):

Blunt Trauma ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Traumatic Cataract ◽

Vehicle Accident

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Radiography is less sensitive relative to CT for detecting thoracic radiographic changes in dogs affected by blunt trauma secondary to a motor vehicle accident

Veterinary Radiology & Ultrasound ◽

10.1111/vru.12795 ◽

2019 ◽

Vol 60 (6) ◽

pp. 648-658 ◽

Cited By ~ 1

Author(s):

Sumari C. Dancer ◽

Christelle Le Roux ◽

Geoffrey T. Fosgate ◽

Robert M. Kirberger

Keyword(s):

Blunt Trauma ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Vehicle Accident ◽

Radiographic Changes

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Laparoscopic Repair of Diaphragmatic Rupture: A Case Report with Radiological and Surgical Correlation

Case Reports in Surgery ◽

10.1155/2017/4159108 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Patrick Nguyen ◽

Bonnie Davis ◽

Daniel D. Tran

Keyword(s):

Abdominal Trauma ◽

Laparoscopic Repair ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Diaphragmatic Rupture ◽

Delayed Presentation ◽

Vehicle Accident ◽

Chest X Ray ◽

The Many ◽

High Degree

The leading cause of diaphragmatic rupture is penetrating abdominal trauma, including gunshot- and stab-related wounds; however, diaphragmatic rupture can also result from blunt trauma to the abdomen. The diagnosis can be difficult to make as the physical examination may be unremarkable, and imaging, that is, a conventional chest X-ray and/or CT imaging, may initially fail to reveal the injury. Failure to recognize diaphragmatic rupture can result in a delayed presentation, sometimes years later, with a potential catastrophic outcome. Therefore, prompt and swift diagnosis is critical to avoid this potential harmful scenario. Traditionally, repair is performed through a laparotomy or a thoracotomy incision. Owing to the many advances made in minimally invasive surgery, not only has laparoscopy become the modality of choice to diagnose diaphragmatic rupture due to its high degree of sensitivity and specificity, but it can provide simultaneous therapeutic intervention as well. We report a case of laparoscopic repair of a diaphragmatic rupture in a 22-year-old female who sustained blunt abdominal trauma during a motor vehicle accident.

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Isolated Chyle Duct Injury in Blunt Trauma

The American Surgeon ◽

10.1177/000313480607200203 ◽

2006 ◽

Vol 72 (2) ◽

pp. 116-117

Author(s):

Sharmila Dissanaike ◽

John A. Griswold ◽

Ari Halldorsson ◽

Eldo E. Frezza

Keyword(s):

Blunt Trauma ◽

High Speed ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Chyle Leak ◽

Cisterna Chyli ◽

Vehicle Accident ◽

Isolated Injury ◽

The Right ◽

Gallbladder Fossa

We present a case of a patient sustaining an isolated injury to the right main branch of the cysterna chyli due to a high-speed motor vehicle accident. A 42-year-old man presented after a high-speed collision. CT revealed a collection of hypodense fluid in the gallbladder fossa, which was the clue to take him to the OR. We proceeded to laparoscopic exploration, and based on the milky white color of the fluid, identified a chyle leak. In an open fashion, the retroperitoneum was explored and the injury was identified as disruption of the right lumbar branch entering the cisterna chyli, and this was ligated with silk ties. Chyle duct injury secondary to blunt trauma is a rare finding. The use of CT imaging can identify this injury. Laparoscopy can confirm the injury. Open ligation of the injured duct is the best treatment.

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Acquired Tracheoesophageal Fistula following Blunt Trauma to the Chest

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230201000418 ◽

2002 ◽

Vol 10 (4) ◽

pp. 349-350 ◽

Cited By ~ 7

Author(s):

Bambarawane LA Karunaratne ◽

Panini A Gooneratne ◽

Savitri Wijesekara ◽

Gamini Goonetilleke

Keyword(s):

Blunt Trauma ◽

Chest Wall ◽

Blunt Chest Trauma ◽

Tracheoesophageal Fistula ◽

Chest Trauma ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Young Male ◽

Vehicle Accident

Tracheoesophageal fistula following blunt chest trauma is rare. Typically the patient is a young male with an elastic chest wall who is involved in a motor vehicle accident. In this case the victim was a motorcyclist who collided with a stationary lorry. He underwent surgery 4 weeks after the injury made an uncomplicated recovery.

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Tracheal transection after blunt trauma by motor vehicle accident: A diagnostic and survival challenge

Bangladesh Critical Care Journal ◽

10.3329/bccj.v3i1.24102 ◽

2015 ◽

Vol 3 (1) ◽

pp. 31-32

Author(s):

AK Qumrul Huda ◽

Rezwanul Hoque ◽

Wong Poo Sing

Keyword(s):

Blunt Trauma ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Nasal Intubation ◽

Tracheal Injury ◽

Rare Injury ◽

Vehicle Accident ◽

Complete Disruption ◽

Trauma Admission ◽

Multi Organ Dysfunction Syndrome

Tracheal transection is a rare injury after blunt trauma. Complete disruption of the trachea is rare, with a reported incidence of 1 in 4491 trauma admission. Blind oral or nasal intubation in patients with tracheal injury can lead to false extra passage. The presence of tracheal transection in the intubated ventilating patient is rarer and constitutes a major diagnostic and survival challenge. Here we present a case of tracheal transection caused by motor vehicle accident diagnosed few days later of the incidence by Computed tomography (CT) of chest, who went for thoracotomy and anastomosis of tracheal transection but developed anastomosis dehiscence. Repeated trial for anastomosis could not save the life of the patient because of development of severe sepsis, disseminated intravascular coagulation (DIC) and multi organ dysfunction syndrome (MODS). Early diagnosis by CT of chest and tracheal anastomotic surgery as early as possible (possibly within 24 hrs) before development of sepsis from mediastinitis is paramount for survival of patient.Bangladesh Crit Care J March 2015; 3 (1): 31-32

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Incidental appendicitis in a blunt trauma patient: a case report

Trauma Image and Procedure ◽

10.24184/tip.2021.6.1.16 ◽

2021 ◽

Vol 6 (1) ◽

pp. 16-18

Author(s):

KwangJin Lee ◽

Pil Young Jung

Keyword(s):

Case Report ◽

Acute Appendicitis ◽

Trauma Patient ◽

Blunt Trauma ◽

Blunt Abdominal Trauma ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Common Disease ◽

Blunt Trauma Patient ◽

Vehicle Accident

Acute appendicitis is a relatively common disease, but it is rarely caused by trauma. There are some reports on appendicitis caused by blunt abdominal trauma, but the pathophysiology is still uncertain. In this report, we presented a case of a patient who developed acute appendicitis following blunt trauma to the abdomen sustained during a motor vehicle accident.

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