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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Seat-belt syndrome revisited.
    Author: Thompson NS, Date R, Charlwood AP, Adair IV, Clements WD.
    Journal: Int J Clin Pract; 2001 Oct; 55(8):573-5. PubMed ID: 11695084.
    Abstract:
    This report describes a complex syndrome of injuries occurring in a young female who was a back seat passenger wearing a lap-belt restraint in a high-speed road traffic accident. As a consequence of the forced flexion distraction injury of her lumbar spine, she sustained a fracture-subluxation of the first lumbar vertebra in association with a jejunal perforation and extensive small intestinal mesenteric laceration. She also had a large traumatic hernia of the anterior abdominal wall, which was overlooked at primary laparotomy. This report highlights collectively the classical combination of injuries associated with the lap-belt syndrome and demonstrates the importance of carefully inspecting the anterior abdominal wall for deficiencies, because traumatic herniation may be easily overlooked.
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