Abstract

Despite its low incidence, the mortality related to it remains high. Seat belt syndrome describes a spectrum of injuries related to the seat-belt use in occupants involved in motor vehicle collusions. These include blunt abdominal aortic injury, intra-abdominal and possibly spinal injuries. Though the eventual consequences may be catastrophic, the initial clinical presentation is frequently subtle. Therefore, prompt diagnostic workup and immediate management should be triggered whenever there is a clinical suspicion for such injuries. Owning to the substantial successful outcomes of endovascular treatment, we believe that it should be accessible to almost all hemodynamically stable patients in the appropriate sitting.

Highlights

  • IntroductionSeat-belt induced aortic injuries occurring in restrained occupants involved in motor vehicle collisions were well recognized and reported in literature, the term “Seat-belt aorta” was first introduced by Dajee, et al in 1979 [1]

  • We report a case of seat-belt syndrome with abdominal aortic intimal tear and dissection which was successfully managed with endovascular treatment

  • Seat-belt induced aortic injuries occurring in restrained occupants involved in motor vehicle collisions were well recognized and reported in literature, the term “Seat-belt aorta” was first introduced by Dajee, et al in 1979 [1]

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Summary

Introduction

Seat-belt induced aortic injuries occurring in restrained occupants involved in motor vehicle collisions were well recognized and reported in literature, the term “Seat-belt aorta” was first introduced by Dajee, et al in 1979 [1]. Blunt abdominal trauma associated with the use of seat belts in motor vehicle collisions may result in aortic injury but it may be associated with intra-abdominal and spinal injuries and this leads to what is known as “seat-belt syndrome”. Seat belt syndrome was first described by Garrett and Braunstein in 1962 [4,5] Thereafter, it has been extensively described in literature with numerous case reports of abdominal wall disruption, hollow viscus, solid visceral and spinal injuries related to the use of seat-belts

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