Abstract
Isolated vascular injuries are rare in cases of blunt abdominal trauma, and superior
mesenteric artery injury is extremely rare but potentially lethal. The incidence of
this kind of life-threatening injury has increased in recent years. The diagnosis
of these isolated injuries is difficult, and its delay is associated with a higher
morbidity and mortality. The authors report on the case of a child with an isolated
injury of the superior mesenteric artery caused by a lap belt, during a motor-vehicle
crash which was successfully managed. Correct use of all types of restraints is to
be recommended. The diagnosis of this rare intraabdominal vascular injury is possible
especially when the major signs are evident, but an awareness of this rare possibility
is essential for the outcome.
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© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
