台灣外科醫學會雜誌

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篇名	Circumferential Ischemic Injury with Occult Perforation of the Jejunum Following Seat Belt Trauma: Report of a Case
作者	Jin-Tau Ng, Ming-Chih Chou, Chung-Chin Yao, Chao-Bin Yeh
卷期/出版年月	42卷3期 (2009/6)
頁次	171-175
摘要	The seal-belt syndrome has been referred to injuries of the intestinal viscera and the lumbar fracture-dislocation following the use of seat belt upon traffic collision. Children present with a higher frequency of these combinations of injuries than adults due to an ill-fitting lap. Herein, we report an unusual case of circumferential ischemic injury of the jejunum with perforation following seat belt trauma in an adult. The presence of a seat belt sign should always be a reminder of occult injuries especially within the abdomen. Abdominal sonography and computed tomography (CT) scan are usually helpful, but the diagnosis of intestinal perforation is still frequently delayed because this type of injury is always initially subtle with a stable hemodynamic condition. Therefore close observation with a high index of suspicion and repeated abdominal examinations should be the rule.
關鍵詞	intestinal perforation, seat belt trauma
分類	Case Report