@article{ref1,
title="Seat belt syndrome with caecal perforation and Chance fracture in an adolescent",
journal="BMJ case reports",
year="2023",
author="Destinval, Christelle and Larmure, Olivier and Journeau, Pierre and Lemelle, Jean-Louis",
volume="16",
number="10",
pages="e254631-e254631",
abstract="Seat belt syndrome describes a combination of injuries a person restrained by a seat belt may have after a high-velocity motor vehicle crash. A seat belt-shaped bruise may be present across the torso. A Chance fracture is a horizontal vertebral fracture, resulting from spinal hyperflexion, and in disruption of the three columns of the vertebral bodies. Its association with intra-abdominal injury is rare in children. A male, in early adolescence, was involved in a high-energy car crash. A total-body CT scan highlighted lacerations of the anterolateral abdominal wall and an acute L4 Chance fracture. Another CT scan performed because of clinical deterioration, showed cecal perforation, caused by a mesenteric tear and non-displaced fracture of the left sacral ala. He underwent a right hemicolectomy with ileocolic anastomosis and protective ileostomy and was immobilised in a body jacket orthosis for 3 months. The ileostomy was closed 3 months later. At 2-year follow-up, he is well.<p /> <p>Language: en</p>",
language="en",
issn="1757-790X",
doi="10.1136/bcr-2023-254631",
url="http://dx.doi.org/10.1136/bcr-2023-254631"
}