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J Korean Soc Emerg Med > Volume 24(3); 2013 > Article
Journal of The Korean Society of Emergency Medicine 2013;24(3): 326-330.
Injury to the Abdominal Aorta from a Seat Belt in a Frontal Motor Vehicle Collision
Jin Young Kim, Sang Chul Kim, Kang Hyun Lee, Jae Wan Lee, Ick Hee Kim, Keun Soo Weon, Kwang Je Baek
1Department of Emergency Medicine, Konkuk University Chungju Hospital, Chungju, Korea. ooiarahan@nate.com
2Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.
3Advanced Vehicle Safety & Dynamics Research Office, Korea Automobile Testing & Research Institute, Korea Transportation Safety Authority, Hwaseong, Korea.
4Department of Surgery, Konkuk University Chungju Hospital, Chungju, Korea.
5Department of Neurosurgery, Konkuk University Chungju Hospital, Chungju, Korea.
ABSTRACT
In traffic accidents, wearing a seatbelt can cause abdominal aortic injury due to an abrupt deceleration. We report a case of abdominal aorta dissection caused by a seat belt in a frontal motor vehicle collision. The initial symptoms and signs were vague or uncertain. However, he complained severe abdominal pain with seat belt sign below the umbilicus. Abdominal computed tomography scans showed an initial flap of the abdominal aorta with hematoma and hazy stranding of the mesentery.
Key words: Seat belts, Traffic accident, Abdominal aorta
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