Seatbelt sign in a case of blunt abdominal trauma; what lies beneath it?

摘要

BackgroundThe reported incidence of hollow viscus injuries (HVI) in blunt trauma patients is approximately 1 %. The most common site of injury to the intestine in blunt abdominal trauma (BAT) is the small bowel followed by colon, with mesenteric injuries occurring three times more commonly than bowel injuries. Isolated colon injury is a rarely encountered condition. Clinical assessment alone in patients with suspected intestinal or mesenteric injury after blunt trauma is associated with unacceptable diagnostic delays.