Abdominal aortic injuries associated with Chance fractures in pediatric patients

Traumatic aortic injuries in the pediatric population

“…The association of Chance fractures and seat belt use is well documented in the literature. In addition, the triad of a seat belt sign, abdominal viscus injury, and Chance fracture is well documented [10]. The interesting finding in this series is the association of a perforated viscus with an abdominal aortic injury.…”

Nonoperative Management of Pediatric Aortic Injury with Seat Belt Syndrome

“…They found that 2 of 12 patients were completely asymptomatic with injuries only identified on abdominal CT scans. 8 Patients with signs of hemodynamic instability are likely to be taken for emergent laparotomy. In these cases, the extent of vascular injury might be unknown until definitive imaging is possible.…”

Acute aortic occlusion in a child secondary to lap-belt injury treated with thromboendarterectomy and primary repair

“…9 To date, most pediatric cases of blunt aortic trauma have been reported in the context of lap-belt injuries. 10 Blunt traumatic injury of the abdominal aorta is a rare but fatal injury estimated to occur in 0.18% of blunt trauma victims from autopsy series. 11 Cox 12 reported a 0.01% incidence of abdominal aortic trauma in 870 patients explored for blunt abdominal trauma.…”