Abstract
Improperly worn seat belts, especially of the lap type are notorious for their potential to cause severe abdominal injury. Abdominal wall injury caused by seat belts is much less frequent than injury to intra-abdominal organs in this setting and may present as an acute abdominal wall defect with intestinal herniation through it. We present a patient who sustained an abdominal seat belt injury, underwent laparotomy for intraabdominal injury and developed an incarcerated lumbar hernia post-operatively. Mechanisms of injury are proposed.
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