Seatbelt Syndrome with Gastric Mucosal Breaks and Intra-Gastric Wall Air Leakage

Hirohito Mori; Takaaki Tsushimi; Hideki Kobara; Noriko Nishiyama; Shintaro Fujihara; Tae Matsunaga; Maki Ayaki; Taiga Chiyo; Tsutomu Masaki

doi:10.2169/internalmedicine.54.4766

CASE REPORTS

Seatbelt Syndrome with Gastric Mucosal Breaks and Intra-Gastric Wall Air Leakage

Hirohito Mori, Takaaki Tsushimi, Hideki Kobara, Noriko Nishiyama, Shintaro Fujihara, Tae Matsunaga, Maki Ayaki, Taiga Chiyo, Tsutomu Masaki

Author information

Hirohito Mori
Department of Gastroenterology and Neurology, Kagawa University, Japan
Department of Gastroenterological Surgery, Ehime Rosai Hospital, Japan
Takaaki Tsushimi
Department of Gastroenterological Surgery, Ehime Rosai Hospital, Japan
Hideki Kobara
Department of Gastroenterology and Neurology, Kagawa University, Japan
Noriko Nishiyama
Department of Gastroenterology and Neurology, Kagawa University, Japan
Shintaro Fujihara
Department of Gastroenterology and Neurology, Kagawa University, Japan
Tae Matsunaga
Department of Gastroenterology and Neurology, Kagawa University, Japan
Maki Ayaki
Department of Gastroenterology and Neurology, Kagawa University, Japan
Taiga Chiyo
Department of Gastroenterology and Neurology, Kagawa University, Japan
Tsutomu Masaki
Department of Gastroenterology and Neurology, Kagawa University, Japan

Keywords: seatbelt syndrome, gastric mucosal breaks, massive bleeding, serious condition

JOURNAL OPEN ACCESS

2015 Volume 54 Issue 20 Pages 2599-2601

DOI https://doi.org/10.2169/internalmedicine.54.4766

Details

Abstract

As numerous reports were published regarding the so-called seatbelt syndrome involved in car crashes, most of them were mentioned about small intestine, duodenum and colon perforations and solid organ bleeding. No reports have been published regarding multiple gastric mucosal tears with intra-gastric wall air leakage with massive bleeding. A 65-year-old woman was admitted after a motor vehicle crash. She vomited massive fresh blood. Gastric mucosal breaks, approximately 5 cm in length, were observed. Computed tomography imaging revealed multiple gastric mucosal breaks. We report a rare case wherein a traffic accident caused a serious condition associated with massive digestive bleeding.

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