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2016 ; 4
(2
): 105-9
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Blunt Abdominal Wall Disruption by Seatbelt Injury; A Case Report and Review of
the Literature
#MMPMID27331068
Cornelissen MP
; van Buijtenen J
; van den Heuvel B
; Bloemers F
; Geeraedts L Jr
Bull Emerg Trauma
2016[Apr]; 4
(2
): 105-9
PMID27331068
show ga
With the introduction of the use of seatbelts in cars, mortality following motor
vehicle crashes has decreased significantly. However, two patterns of injuries,
the ?seatbelt sign? and ?seatbelt syndrome? have emerged. Injuries may consist of
traumatic abdominal wall disruption. We present two cases of severe abdominal
wall disruption caused by a seatbelt injury and treated with primary repair. A
review of the literature is provided. Two patients were brought in after a high
velocity Motor Vehicle Collision. Both presented with an acute abdomen and a
seatbelt sign upon which the decision was made to perform emergency laparotomies.
Both patients had an abdominal wall disruption along the seatbelt sign. These
disruptions were primarily closed and during six months of follow-up no
complications occurred. A disruption of the abdominal wall is a rare
complication. However, it is a diagnosis that may not be missed as patients have
a higher risk of morbidity and mortality. CT-scanning is an accurate method to
detect disruptions. Closure of blunt traumatic abdominal wall disruption can be
done primarily with sutures or addition of a mesh. In both cases of the severe
abdominal wall disruption, primary repair without mesh in the acute phase was
successful. When a laparotomy is not indicated, the abdominal wall must be
assessed for disruption. If there is a disruption primary repair is a good
option.