Seatbelt Injury to the Abdominal Aorta

Warrian, R. Keith; Shoenut, J P; Iannicello, C M; Sharma, G P; Trenholm, B G

doi:10.1097/00005373-198810000-00019

Cited by 35 publications

(14 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The indirect forces experienced are caused by the shearing force produced by the acutely flexed abdominal aorta being subjected to a higher deceleration than the mesenteric arteries [25]. The presence of a preexisting degenerative condition such as arteriosclerosis has been suggested to increase the susceptibility to aortic injury after blunt abdominal trauma as the weakened intima may be predisposed to disruption and may explain the difference in incidence between the adult and pediatric populations [7,12,17,20,25,27].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Abdominal aortic injuries associated with Chance fractures in pediatric patients

Choit¹,

Tredwell²,

LeBlanc³

et al. 2006

Journal of Pediatric Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

“…Fewer than 100 cases have been reported in the adult literature [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. Injury to the thoracic aorta after blunt abdominal trauma is more common.…”

mentioning

confidence: 99%

Abdominal aortic injuries associated with Chance fractures in pediatric patients

Choit¹,

Tredwell²,

LeBlanc³

et al. 2006

Journal of Pediatric Surgery

View full text Add to dashboard Cite

“…The mechanisms proposed as a cause of the syndrome are the compression of the abdominal wall and viscera among the belt and the lumbar column, the sudden intraluminal pressure increase and the rate of deceleration between free and relatively fixed segments of the aorta, resulting in intimal flaps and disruptions [15,17,20,21]. Atherosclerosis may be associated with aortic intimal disruption due to weakening of the intima in addition to loss of elasticity and compliance [17,20,21].…”

Section: Discussionmentioning

confidence: 99%

Seat Belt Syndrome and Aortoiliac Lesion: Case Report and Review of the Literature

Aerts

Lichtenfels²,

Erling³

2007

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Blunt vascular trauma represents 7-9% of the vascular lesions in civilians. There are few reports associating blunt trauma with aortoiliac lesion to the trauma associated with the use of seat belts. We report a case of aortic bifurcation disruption and bilateral iliac artery thrombosis directly related to seat belt use and not associated with pelvic fractures. Arterial revascularization was accomplished through an aortoiliac bypass with spiraled saphenous vein interposition graft and perfusion was restored to both limbs. However, the patient died 5 days after due to respiratory distress syndrome. A high index of suspicion and early diagnosis are essential for patient survival and limb salvage.

show abstract

“…Abdominal aortic injuries, while rare, have also been reported in association with lap belts mainly in adults [8].…”

Section: Discussionmentioning

confidence: 99%

Lap belt iliac wing fracture: a predictor of bowel injury in children

Emery

2002

Pediatric Radiology

View full text Add to dashboard Cite

Lap belt restraints in motor vehicle collisions have been associated with a variety of injuries, mainly bowel and lumbar spine. Cephalad positioning of the belt over the intended position across the anterior superior iliac spines (which typically occurs in younger children) is thought to be responsible for the observed bowel injuries. We report two pediatric patients, both restrained by lap belts in high-speed collisions, who suffered iliac wing fractures in addition to bowel injuries. Unexplained free peritoneal fluid was the sole CT finding in one patient (a teenage girl) who had a delay in diagnosis of bowel perforation. These cases illustrate the high frequency of bowel injury in pediatric patients with iliac wing fractures associated with lap belt use.

show abstract

Seatbelt Injury to the Abdominal Aorta

Cited by 35 publications

References 0 publications

Abdominal aortic injuries associated with Chance fractures in pediatric patients

Abdominal aortic injuries associated with Chance fractures in pediatric patients

Seat Belt Syndrome and Aortoiliac Lesion: Case Report and Review of the Literature

Lap belt iliac wing fracture: a predictor of bowel injury in children

Contact Info

Product

Resources

About