J Korean Soc Emerg Med.  2013 Jun;24(3):326-330.

Injury to the Abdominal Aorta from a Seat Belt in a Frontal Motor Vehicle Collision

Affiliations
  • 1Department of Emergency Medicine, Konkuk University Chungju Hospital, Chungju, Korea. ooiarahan@nate.com
  • 2Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.
  • 3Advanced Vehicle Safety & Dynamics Research Office, Korea Automobile Testing & Research Institute, Korea Transportation Safety Authority, Hwaseong, Korea.
  • 4Department of Surgery, Konkuk University Chungju Hospital, Chungju, Korea.
  • 5Department of Neurosurgery, Konkuk University Chungju Hospital, Chungju, Korea.

Abstract

In traffic accidents, wearing a seatbelt can cause abdominal aortic injury due to an abrupt deceleration. We report a case of abdominal aorta dissection caused by a seat belt in a frontal motor vehicle collision. The initial symptoms and signs were vague or uncertain. However, he complained severe abdominal pain with seat belt sign below the umbilicus. Abdominal computed tomography scans showed an initial flap of the abdominal aorta with hematoma and hazy stranding of the mesentery.

Keyword

Seat belts; Traffic accident; Abdominal aorta

MeSH Terms

Abdominal Pain
Accidents, Traffic
Aorta, Abdominal*
Deceleration
Hematoma
Mesentery
Motor Vehicles*
Seat Belts*
Umbilicus
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