The Traffic Accident Reconstruction Origin -ARnews-


Re: Re: Seatbelt Injuries

Bob Kegel (bobkegel@seanet.com)
Tue, 22 Jul 1997 01:26:40 -0400 (EDT)

I did a Medline search on "seatbelt" and "hernia" and got several hits. The following abstract appears to be the most relevant:

Title
Acute traumatic abdominal hernia: case reports.
Author
Damschen DD; Landercasper J; Cogbill TH; Stolee RT
Address
Department of Surgery, Gundersen Clinic, Ltd., LaCrosse, Wisconsin 54601.
Source
J Trauma, 36:273-6, 1994 Feb
Abstract
Traumatic abdominal hernia is a rare injury with most reports documenting only one or two such cases. We describe
five cases that were recognized during a 22-year period at a single trauma center. Physical examination often revealed
abdominal wall tenderness and ecchymosis, but confirmation of hernia required additional testing in four of five patients.
Two patients sustained muscle avulsion from the iliac crest which was likely a result of obesity and high riding
seatbelts. In three of the patients a computed tomographic scan of the abdomen was instrumental in making the
diagnosis. Surgical repair of the hernia was accomplished in three patients. The other two patients were managed
nonsurgically. This report documents that an individualized approach to these patients is appropriate. Diagnosis may be
difficult and immediate surgery does not prevent late sequelae. Management guidelines based upon a review of the
English language literature on traumatic abdominal wall hernias are presented.
Language
Eng
Unique Identifier
94157973

MESH Headings
Adult*; Aged*; Case Report; Child, Preschool*; Female; Hernia, Ventral*; Human; Male; Middle Age*; Support,
Non-U.S. Gov't; Wounds, Nonpenetrating*

Publication Type
JOURNAL ARTICLE; REVIEW; REVIEW, MULTICASE
ISSN
0022-5282
Country of Publication
UNITED STATES

Bob Kegel
Aberdee, WA PD
Bob Kegel
bobkegel@seanet.com


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