PDF(Pubmed)
Abstract：
A rare case of an ascending colon injury and ileal perforation in a 34-year-old male patient due to blunt abdominal trauma caused by a road traffic accident is reported in this study. This paper reports the clinical and imaging findings of seat belt syndrome. The seat belt syndrome primarily involves soft tissue injury; however, lacerations of the colon, small intestine, and mesentery have rarely been reported in the literature. However intestinal injuries, including bowel perforation and mesenteric injuries due to seat belt syndrome, must not be underestimated because they usually require emergency laparotomy because of accompanying peritonitis and hemorrhaging, and can be lethal if left untreated. Therefore, when an ascending mesocolon hematoma and free gas in the peritoneal cavity are present, gastrointestinal perforation due to seat belt syndrome should be suspected. In this case, gastrointestinal perforation was suspected based on the computed tomography findings, and emergency surgery was performed; the patient\'s course was uneventful without any postoperative complications. Early diagnosis and management are essential to prevent associated morbidity and mortality.
摘要：
本研究报告了一例34岁男性患者因道路交通事故造成的钝性腹部创伤而导致升结肠损伤和回肠穿孔的罕见病例。本文报告安全带综合征的临床和影像学表现。安全带综合征主要涉及软组织损伤；然而，结肠撕裂,小肠,肠系膜在文献中很少报道。然而肠道损伤，包括由于安全带综合征引起的肠穿孔和肠系膜损伤，不可低估，因为它们通常需要紧急剖腹手术，因为伴随腹膜炎和出血，如果不及时治疗，可能会致命。因此,当腹膜腔内存在上行结肠系膜血肿和游离气体时，应怀疑安全带综合征引起的胃肠道穿孔。在这种情况下,根据计算机断层扫描检查结果怀疑胃肠道穿孔，并进行了急诊手术；患者的病程顺利，无任何术后并发症。早期诊断和管理对于预防相关的发病率和死亡率至关重要。
