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A case of seat belt-induced small bowel rupture and Chance fracture accompanied by elevated serum amylase

We report herein our experience with a 10-year-old girl who incurred injuries consistent with seat belt syndrome. The patient was involved in a low-speed motor vehicle accident while restrained in a three-point belt (shoulder and lap belts). She complained of abdominal pain and developed tenderness...

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Autor principal: Tatekawa, Yukihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8318600/
https://www.ncbi.nlm.nih.gov/pubmed/34336185
http://dx.doi.org/10.1093/jscr/rjab315
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author Tatekawa, Yukihiro
author_facet Tatekawa, Yukihiro
author_sort Tatekawa, Yukihiro
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description We report herein our experience with a 10-year-old girl who incurred injuries consistent with seat belt syndrome. The patient was involved in a low-speed motor vehicle accident while restrained in a three-point belt (shoulder and lap belts). She complained of abdominal pain and developed tenderness and abdominal guarding. On admission, enhanced computed tomography (CT) demonstrated a fluid collection in the pelvis and a fractured vertebra in the lumbar spine. The following day, her C-reactive protein and serum amylase levels were elevated and plain CT demonstrated free air in the left side of the abdominal cavity. A ruptured jejunum was detected on laparoscopy. The involved segment of intestine was resected and an end-to-end anastomosis performed. She had an uneventful post-operative course. On post-operative day 14, she was transferred to another facility to undergo therapy for her spinal fracture. After completing conservative therapy, she was discharged 5 weeks after the initial injury.
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spelling pubmed-83186002021-07-29 A case of seat belt-induced small bowel rupture and Chance fracture accompanied by elevated serum amylase Tatekawa, Yukihiro J Surg Case Rep Case Report We report herein our experience with a 10-year-old girl who incurred injuries consistent with seat belt syndrome. The patient was involved in a low-speed motor vehicle accident while restrained in a three-point belt (shoulder and lap belts). She complained of abdominal pain and developed tenderness and abdominal guarding. On admission, enhanced computed tomography (CT) demonstrated a fluid collection in the pelvis and a fractured vertebra in the lumbar spine. The following day, her C-reactive protein and serum amylase levels were elevated and plain CT demonstrated free air in the left side of the abdominal cavity. A ruptured jejunum was detected on laparoscopy. The involved segment of intestine was resected and an end-to-end anastomosis performed. She had an uneventful post-operative course. On post-operative day 14, she was transferred to another facility to undergo therapy for her spinal fracture. After completing conservative therapy, she was discharged 5 weeks after the initial injury. Oxford University Press 2021-07-26 /pmc/articles/PMC8318600/ /pubmed/34336185 http://dx.doi.org/10.1093/jscr/rjab315 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Tatekawa, Yukihiro
A case of seat belt-induced small bowel rupture and Chance fracture accompanied by elevated serum amylase
title A case of seat belt-induced small bowel rupture and Chance fracture accompanied by elevated serum amylase
title_full A case of seat belt-induced small bowel rupture and Chance fracture accompanied by elevated serum amylase
title_fullStr A case of seat belt-induced small bowel rupture and Chance fracture accompanied by elevated serum amylase
title_full_unstemmed A case of seat belt-induced small bowel rupture and Chance fracture accompanied by elevated serum amylase
title_short A case of seat belt-induced small bowel rupture and Chance fracture accompanied by elevated serum amylase
title_sort case of seat belt-induced small bowel rupture and chance fracture accompanied by elevated serum amylase
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8318600/
https://www.ncbi.nlm.nih.gov/pubmed/34336185
http://dx.doi.org/10.1093/jscr/rjab315
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