SEAT BELT SYNDROME İN A CHİLD, DELAYED INTESTİNAL İNJURİES A CASE REPORT AND REVİEW OF LİTERATURE

Abstract

Aims: We believe that this case report will help in the early diagnosis of possible seat belt injuries. We present a case of delayed ileal perforations in a pediatric patient with clinical signs and symptoms. Case: A 10-year-old male patient was admitted to the intensive care unit for follow-up due to a grade 1 laceration of the liver in a vehicular traffic accident. Hemodynamics were stable and there was no perforation on CT scan. On the 2nd day of follow-up laparotomy due to abdominal distension and tenderness, primary repair of bird's eye perforation was performed at two points in the ileal intestine. Conclusions: In conclusion, although negative abdominal CT scans are available in patients with seat belt-related abdominal ecchymosis in the acute phase, we believe that possible intra-abdominal organ damage should be kept in mind in vehicle accidents in high-energy collisions and keeping seat belt syndrome in mind in the presence of persistent pain and tenderness will lead the physician to early diagnosis and treatment.

Keywords

• Seat belt
• child
• accident vehicle
• intestinal perforation

Çocukta emniyet kemeri sendromu, gecikmiş bağırsak yaralanmaları olan olgu sunumu ve literatürün gözden geçirilmesi

Abstract

Amaç: Bu olgu sunumunun, emniyet kemeri olası yaralanmalarının, erken teşhisine yardımcı olacağına inanıyoruz. Emniyet kemerine bağlı çocuk hastada gecikmiş ileal perforasyonları olan hastanın klinik bulgu ve semptomları eşliğinde sunduk. Olgu: 10 yaş erkek hasta araç içi trafik kazasında karaciğer grade 1 laserasyonu nedeniyle yoğun bakıma takip için yatırıldı. Hemodinami stabildi, çekilen tomografide perforasyon yokken, takibin 2. Günü abdominal distansiyon ve hassasiyet nedeniyle yapılan laparotomide ileal barsakda iki noktada kuş gözü perfosyan primer tamir edildi. Sonuç: Emniyet kemerine bağlı abdominal ekimozu olan hastalarda sonuç olarak, akut dönemde negatif abdominal BT taramaları mevcut olsa da, yüksek enerjili çarpışmalardaki araç kazalarında, olası intraabdominal organ hasarı akılda tutulmalı ve inatçı ağrı ve hassasiyet varlığında, emniyet kemeri sendromunu akılda tutmak, hekimi erken tanı ve tedaviye götüreceğine inanıyoruz.

Keywords

• Emniyet kemeri
• Çocuk
• Araç kazası
• bağırsak perforasyonu

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