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International Journal of Radiology & Medical Imaging Volume 2 (2016), Article ID 2:IJRMI-114, 5 pages
https://doi.org/10.15344/2456-446X/2016/114
Case Report
Aortic Seat Belt Syndrome, A Rare Abdominal Aortic Injury Managed with Endovascular Treatment: A Case Report and Literature Review

Jamal Al Deen Alkoteesh1, Iqbal Ahmed Qureshi2, Maysam T. Abu Sa’a3*, Kamal Mohamed Idrees4 and Shakilur Rahman2

1Department of Interventional and Diagnostic Radiology - Al Ain Hospital, P. O. Box 1006, Al Ain Hospital, Al Ain, UAE
2Department of General Surgery, Al Ain Hospital, P O. Box 1006, Al Ain Hospital, Al Ain, UAE
3Department of Clinical Imaging and Diagnostic radiology, Tawam Hospital in affiliation with John’s Hopkins Hospital–SEHA, P.O. Pox: 15258 Tawam Hospital, Al Ain, UAE
4Department of Anesthesia & ICU - Al Ain Hospital, P. O. Box 1006, Al Ain Hospital, Al Ain, UAE
Dr. Maysam T. Abu Sa’a, Department of Clinical Imaging and Diagnostic radiology -Tawam Hospital in affiliation with John’s Hopkins Hospital-SEHA, P.O. Pox: 15258 Tawam Hospital , Al Ain, UAE; E-mail: mabusaa@gmail.com
12 September 2015; 20 July 2016; 22 July 2016
Alkoteesh JAD, Qureshi IA, Abu Sa’a MT, Idrees KM, Rahman S (2016) Aortic Seat Belt Syndrome, A Rare Abdominal Aortic Injury Managed with Endovascular Treatment: A Case Report and Literature Review. Int J Radiol Med Imag 2: 114. doi: https://doi.org/10.15344/2456-446X/2016/114

Abstract

Despite its low incidence, the mortality related to it remains high. Seat belt syndrome describes a spectrum of injuries related to the seat-belt use in occupants involved in motor vehicle collusions. These include blunt abdominal aortic injury, intra-abdominal and possibly spinal injuries. Though the eventual consequences may be catastrophic, the initial clinical presentation is frequently subtle. Therefore, prompt diagnostic workup and immediate management should be triggered whenever there is a clinical suspicion for such injuries. Owning to the substantial successful outcomes of endovascular treatment, we believe that it should be accessible to almost all hemodynamically stable patients in the appropriate sitting.

We report a case of seat-belt syndrome with abdominal aortic intimal tear and dissection which was successfully managed with endovascular treatment.