SEAT BELT SYNDROME İN A CHİLD, DELAYED INTESTİNAL İNJURİES A CASE REPORT AND REVİEW OF LİTERATURE

Aims: We believe that this case report will help in the early diagnosis of possible seat belt injuries. We present a case of delayed ileal perforations in a pediatric patient with clinical signs and symptoms. Case: A 10-year-old male patient was admitted to the intensive care unit for follow-up due to a grade 1 laceration of the liver in a vehicular traffic accident. Hemodynamics were stable and there was no perforation on CT scan. On the 2nd day of follow-up laparotomy due to abdominal distension and tenderness, primary repair of bird's eye perforation was performed at two points in the ileal intestine. Conclusions: In conclusion, although negative abdominal CT scans are available in patients with seat belt-related abdominal ecchymosis in the acute phase, we believe that possible intra-abdominal organ damage should be kept in mind in vehicle accidents in high-energy collisions and keeping seat belt syndrome in mind in the presence of persistent pain and tenderness will lead the physician to early diagnosis and treatment.