title: Lap-belt syndrome: management of aortic intimal dissection in a 7-year-old child with a constellation of injuries.
abstract: We present a case of lap-belt motor vehicle injury in a 7-year-old male who was admitted with abdominal ecchymoses and pain with associated aortic intimal flap, bowel injury, hemoperitoneum, and retroperitoneal hematoma at initial imaging with CT. Most of these findings were confirmed at subsequent laparotomy, and the patient underwent operative repair of bowel injuries. His aortic intimal flap was followed with US and color Doppler imaging during which time he was treated conservatively until there was sonographic evidence of intimal healing. This patient illustrates a multimodality approach to imaging and conservative management.
authors.affiliation: Diagnostic Imaging and Radiology, Children's National Medical Center, George Washington University, 111 Michigan Avenue NW, Washington, DC 20010, USA.
authors.forename: Paritosh C
authors.initials: PC
authors.lastname: Khanna
authors.forename: Patricia
authors.initials: P
authors.lastname: Rothenbach
authors.forename: Philip C
authors.initials: PC
authors.lastname: Guzzetta
authors.forename: Dorothy I
authors.initials: DI
authors.lastname: Bulas
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging* / Q000601:surgery; D000063:Accidents, Traffic; D001012:Aorta, Abdominal / Q000293:injuries*; D002648:Child; D006801:Humans; D008297:Male; D012622:Seat Belts / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging* / Q000601:surgery