Lap-belt syndrome: Management of aortic intimal dissection in a 7-year-old child with a constellation of injuries

Document Type

Journal Article

Publication Date

1-1-2007

Journal

Pediatric Radiology

Volume

37

Issue

1

DOI

10.1007/s00247-006-0339-3

Keywords

Color doppler; CT; Lap-belt syndrome; Seat-belt syndrome; US

Abstract

We present a case of lap-belt motor vehicle injury in a 7-year-old male who was admitted with abdominal ecchymoses and pain with associated aortic intimal flap, bowel injury, hemoperitoneum, and retroperitoneal hematoma at initial imaging with CT. Most of these findings were confirmed at subsequent laparotomy, and the patient underwent operative repair of bowel injuries. His aortic intimal flap was followed with US and color Doppler imaging during which time he was treated conservatively until there was sonographic evidence of intimal healing. This patient illustrates a multimodality approach to imaging and conservative management. © Springer-Verlag 2006.

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