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Surgery Today

, Volume 37, Issue 1, pp 86–88 | Cite as

An Abdominal Aortic Rupture Due to Seatbelt Blunt Injury: Report of a Case

  • Takaki Sugimoto
  • Atsushi Omura
  • Takashi Kitade
  • Hideyuki Takahashi
  • Takashi Koyama
  • Sigeru Kurisu
Article

Abstract

A 66-year-old man, who was a passenger in a car involved in a low-speed head-on motor vehicle accident, was rushed to our hospital. His abdomen was tender and distended. An enhanced computed tomography scan showed a massive retroperitoneal hematoma, and its three-dimensional imaging revealed an active leak of the contrast medium from the aortic bifurcation. He went into shock, and was immediately transferred to the operating theater. Through a median laparotomy, a ruptured site measuring 5 mm in diameter was found at the aortic bifurcation and it was closed with sutures under a proximal aortic control. The other organs showed no evidence of injury. Because of the remarkable edema of the bowel, mesentery, and retroperitoneum, the abdomen was temporarily closed with a mesh sheet to prevent the occurrence of abdominal compartment syndrome. A delayed closure was then successfully performed 4 days later, and he was discharged with no residual sequelae 17 days after the initial operation.

Key words

Abdominal aortic rupture Seatbelt blunt injury Abdominal compartment syndrome 

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Copyright information

© Springer-Verlag Tokyo 2007

Authors and Affiliations

  • Takaki Sugimoto
    • 1
  • Atsushi Omura
    • 1
  • Takashi Kitade
    • 1
  • Hideyuki Takahashi
    • 1
  • Takashi Koyama
    • 1
  • Sigeru Kurisu
    • 1
  1. 1.Department of SurgeryHyogo Prefectural Awaji HospitalSumotoJapan

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