TY  - JOUR
PY  - 2023//
TI  - Seat belt syndrome with caecal perforation and Chance fracture in an adolescent
JO  - BMJ case reports
A1  - Destinval, Christelle
A1  - Larmure, Olivier
A1  - Journeau, Pierre
A1  - Lemelle, Jean-Louis
SP  - e254631
EP  - e254631
VL  - 16
IS  - 10
N2  - 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>
LA  - en
SN  - 1757-790X
UR  - http://dx.doi.org/10.1136/bcr-2023-254631
ID  - ref1
ER  -