A Case of Missed Intra-abdominal Injury in Patient with Chance Fracture

doi:2014.4.1.35

J Acute Care Surg > Volume 4(1); 2014 > Article

Case Report

Journal of Acute Care Surgery 2014;4(1):35-38.
DOI: https://doi.org/10.17479/jacs.2014.4.1.35 Published online April 30, 2014.

A Case of Missed Intra-abdominal Injury in Patient with Chance Fracture

챈스 골절이 있는 환자에서 간과된 복부 장기 손상 1예

설영훈^*ㆍ박준범^†ㆍ설지영^†

^*을지대학교병원 외과, ^†충남대학교 의과대학 외과학교실

Received: 7 October 2013 • Revised: 21 March 2014 • Accepted: 24 March 2014

Abstract

The seat belt is the most important safety system in a motor vehicle and should always be worn to prevent serious injury. However, seat belt use has the potential for specific serious localized injury patterns, such as abdominal wall contusion, intra-abdominal injury, and Chance fracture, referred to as seat belt syndrome. Recent research finds that the patient who presents with an abdominal wall contusion and a Chance fracture is at high risk of intra- abdominal injury. Here, we present a regretful case of missed intra-abdominal injury in a patient who presented with an abdominal wall contusion and a Chance fracture. We then discuss the clinical implications of seat belt syndrome and review the pertinent literature. (J Acute Care Surg 2014;4:35-38)

Key Words: Seat belt, Injury, Syndrome