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Case Reports in Pediatrics
Volume 2012 (2012), Article ID 326936, 3 pages
http://dx.doi.org/10.1155/2012/326936
Case Report

Seatbelt: A Double-Edged Sword

1Department of Surgery, John Hunter Hospital, Newcastle, NSW 2305, Australia
2Department of Neurosurgery, John Hunter Hospital, Newcastle, NSW 2305, Australia
3Department of Surgery/Trauma Service, John Hunter Hospital, Newcastle, NSW 2305, Australia
4Department of Radiology/Trauma Service, John Hunter Hospital, Newcastle, NSW 2305, Australia
5Department of Paediatric Surgery, John Hunter Children's Hospital, Newcastle, NSW 2305, Australia

Received 21 November 2011; Accepted 11 December 2011

Academic Editors: A. K. C. Leung, W. B. Moskowitz, E. N. Ozmert, and M. E. Speer

Copyright © 2012 P. Raychaudhuri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intra-abdominal vascular injury due to blunt trauma is unusual in children. Due to its rarity, detailed reports dealing with its management are scarce in paediatric literature. Diagnosis of these injuries is challenging, and a high degree of awareness is necessary for rapid identification and treatment of these injuries. We report the case of a child with seatbelt sign and mesenteric vein injury due to blunt trauma to the abdomen during a motor vehicle accident where the seatbelt was incorrectly placed. She also sustained cervical vertebral injury. The pattern of injuries in children in these situations may differ from that found in adults. While seatbelts have undoubtedly saved many lives, awareness about correct placement of these restraints is extremely necessary.