ArticleTrauma case reports2021
Delayed diagnosis of a flexion-distraction spinal injury and occult small bowel injury in a pediatric trauma patient: Importance of recognizing the abdominal "seatbelt sign".
Article in Trauma case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- Surgical management of posterior ligament complex stripping in an adolescent spinal flexion distraction injury: A case report and literature review.International journal of surgery case reports · 2024Article
- Chance fracture at L2 followed by delayed jejunal transection due to a motor vehicle collision: A case report and review.Trauma case reports · 2023Article
- Seat belt syndrome with caecal perforation and Chance fracture in an adolescent.BMJ case reports · 2023Article
- Lessons learned about the management of a traffic road accident victim with abdominal seatbelt sign: Case report.Trauma case reports · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Spine trauma in the pediatric population can present with occult spinal and visceral injuries, presenting unique diagnostic challenges. Subtle imaging findings, as well as difficulty in patient participation with history and examination can contribute to a delayed or missed diagnosis. This in turn can be detrimental to recovery, leading to significant delay in care, additional morbidity, and cost. We present the case of an 11-year-old female patient with a delayed diagnosis of an unstable three-column lumbar spine injury as well as an occult small bowel injury that evaded diagnosis despite multiple hospitalizations and a plethora of imaging and treatment modalities. This led to several extended hospital stays and numerous interventions and surgeries to treat her injuries. We present this case to highlight the sequela of such an injury, and to broaden awareness across specialties of an injury pattern which requires a heightened index of suspicion to detect.
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