Abstract
Introduction: Seat belt injuries are not uncommon. The use of seat belt is associated with a unique injury prole collectively termed “the seat belt syndrome”. The aim is to aid in the early diagnosis of seat belt injuries. Case presentation: A 26 year old male patient presented to casualty after met with an road trafc accident he was the driver ,wearing seat belt and had front impact. On presentation he was concious , vitally stable , breathing spontaneously and abrasions on chest and abdomen. On CECT abdomen, proximal jejunal perforation with horizontal mesenteric tear. Discussion: Early diagnosis provides better outcomes for patients with seat belt injuries, but this remains a challenge to trauma surgeons. The typical ndings of peritonitis might not be present initially. The presence of abdominal wall ecchymosis (seat belt sign) increases the chance of intra-abdominal injuries by eight folds. Clinical signs of intestinal injuries Conclusion: might not be obvious on presentation. In the presence of seat belt sign the possibility of bowel injury must be suspected. Admit the patient for observation even if no clinical or radiological ndings are present at presentation
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