title: Seatbelt syndrome with gastric mucosal breaks and intra-gastric wall air leakage.
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.
authors.affiliation: Department of Gastroenterology and Neurology, Kagawa University, Japan.
authors.forename: Hirohito
authors.initials: H
authors.lastname: Mori
authors.forename: Takaaki
authors.initials: T
authors.lastname: Tsushimi
authors.forename: Hideki
authors.initials: H
authors.lastname: Kobara
authors.forename: Noriko
authors.initials: N
authors.lastname: Nishiyama
authors.forename: Shintaro
authors.initials: S
authors.lastname: Fujihara
authors.forename: Tae
authors.initials: T
authors.lastname: Matsunaga
authors.forename: Maki
authors.initials: M
authors.lastname: Ayaki
authors.forename: Taiga
authors.initials: T
authors.lastname: Chiyo
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Masaki
mesh_terms: D000063:Accidents, Traffic; D000368:Aged; D001803:Blood Transfusion; D004635:Emergency Medicine; D005260:Female; D005753:Gastric Mucosa / Q000293:injuries* / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D006801:Humans; D007416:Intestinal Perforation / Q000473:pathology* / Q000628:therapy; D007421:Intestine, Small / Q000293:injuries* / Q000473:pathology; D007564:Japan; D012622:Seat Belts / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome