Cargando…
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...
Autor principal: | |
---|---|
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 |
_version_ | 1783730275994304512 |
---|---|
author | Tatekawa, Yukihiro |
author_facet | Tatekawa, Yukihiro |
author_sort | Tatekawa, Yukihiro |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-8318600 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT tatekawayukihiro acaseofseatbeltinducedsmallbowelruptureandchancefractureaccompaniedbyelevatedserumamylase AT tatekawayukihiro caseofseatbeltinducedsmallbowelruptureandchancefractureaccompaniedbyelevatedserumamylase |