Seat Belt Syndrome
Keywords:
Cedarcrest hospitals Abuja, road traffic accident, seat belt syndromeAbstract
Seat belt syndrome is a term used collectively for all injuries associated with the use of seat belts during motor vehicular accident. It usually presents with seat belt sign with associated intra‑abdominal, thoracic, pelvic and spinal injuries. A 42‑year‑old male presented to our hospital 15 h after a head‑on collision with an oncoming vehicle. He was the driver of a saloon car and was seatbelted at the time of the accident. He sustained multiple injuries which included blunt abdominal injury, multiple rib fractures and right femoral fracture. Examination revealed the seat belt sign on both anterior chest and abdominal walls and progressive abdominal distension with right femoral fracture. Chest, brain and abdominal computed tomography scans confirmed the diagnosis. He subsequently had an exploratory laparotomy and damage control orthopaedics in which an external fixator was applied to the right femur and a locked intramedullary nail thereafter. He recuperated and discharged home 26 days after the accident. Patients who present with a seat belt sign on the anterior chest or abdominal wall following a motor vehicle accident should be managed with a high index of suspicion for seat belt syndrome. Thus, the presence of any of the injuries mentioned should warrant a search for other associated injuries. With increase in the compliance of seat belt use amongst car users in Nigeria, there will be a rise in seat belt syndrome, There is need to create more awareness about seatbelt syndrome and a classification system would help to know its severity.
References
1. Torba M, Hijazi S, Gjata A, Buci S, Madani R, Subashi K, et al. Seat beltsyndrome, a new pattern of injury in developing countries. Case reportand review of literature. G Chir 2014;35:177‑80.
2. Velmahos GC, Tatevossian R, Demetriades D. The “seat belt mark”sign: A call for increased vigilance among physicians treating victims ofmotor vehicle accidents. Am Surg 1999;65:181‑5.
3. Al‑Ozaibi L, Adnan J, Hassan B, Al‑Mazroui A, Al‑Badri F. Seat beltsyndrome: Delayed or missed intestinal injuries, a case report andreview of literature. Int J Surg Case Rep 2016;20:74‑6.
4. World Health Organisation. Global Status Report on Road TrafficInjuries. Geneva: World Health Organisation; 2018.
5. Abu‑Zidan FM, Abbas AK, Hefny AF, Eid HO, Grivna M. Effects ofseat belt usage on injury pattern and outcome of vehicle occupants afterroad traffic collisions: Prospective study. World J Surg 2012;36:255‑9.
6. Ogundele OJ, Ifesanya AO, Adeyanju SA, Ogunlade SO. The impact ofseat‑belts in limiting the severity of injuries in patients presenting to auniversity hospital in the developing world. Niger Med J 2013;54:17‑21.
7. Adegbehingbe OO, Onuoha KM, Abiodun A, Akinkulie AA,Osadolor OM. Seat belt syndrome: Must we use seatbelts in the21st century? A case report. IOSR J Dent Med Sci 2017;16:80‑3.
8. Ipingbemi O. The rate of compliance to seat belt usage among automobiledrivers on three categories of roads in Nigeria: An observational survey. Int J Inj Contr Saf Promot 2012;19:3‑8.
9. Iribhogbe PE, Osime CO. Compliance with seat belt use in Benin city,Nigeria. Prehosp Disaster Med 2008;23:16‑9.
10. Popoola S, Oluwadiya K, Kortor J, Denen‑Akaa P, Onyemaechi N. Compliance with seat belt use in Makurdi, Nigeria: An observationalstudy. Ann Med Health Sci Res 2013;3:427‑32.
11. Oluwasanmi AJ. Road accident trends in Nigeria. Accid Anal Prev1993;25:485‑7.
12. Chandler CF, Lane JS, Waxman KS. Seatbelt sign following blunttrauma is associated with increased incidence of abdominal injury. AmSurg 1997;63:885‑8.
13. Masudi T, McMahon HC, Scott JL, Lockey AS. Seat belt‑relatedinjuries: A surgical perspective. J Emerg Trauma Shock 2017;10:70‑3.
14. Girelli G, Di Natale R, Manocchi MC, Lutman M. Seat belt syndrome.Radiol Med 1993;86:444‑52.
15. Abbas AK, Hefny AF, Abu‑Zidan FM. Seatbelts and road trafficcollision injuries. World J Emerg Surg 2011;6:18.
16. Bhagvan S, Turai M, Holden A, Ng A, Civil I. Predicting hollow viscusinjury in blunt abdominal trauma with computed tomography. World JSurg 2013;37:123‑6.
17. Dodds M, Gul R, Cassidy N. Late diagnosed seat belt syndrome:A second chance? Inj Extra 2006;37:25‑7.
18. Jones EL, Stovall RT, Jones TS, Bensard DD, Burlew CC, Johnson JL,et al. Intra‑abdominal injury following blunt trauma becomes clinicallyapparent within 9 hours. J Trauma Acute Care Surg 2014;76:1020‑3.
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Copyright (c) 2018 Kelechukwu M. Onuoha, Kingsley K. Ekwe, Ikechukwu Anosike, Bolarinwa Akinola, Felix E. Ogedegbe (Author)
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