{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:54:55Z","timestamp":1777312495505,"version":"3.51.4"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":45,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Post-traumatic abdominal aortic occlusion (PTAO) is an extremely rare but potentially fatal consequence of high-energy blunt trauma, particularly in the setting of seat-belt injury. While thoracic aortic injuries are more commonly reported, complete occlusion of the abdominal aorta remains poorly documented, with only a few case reports available in the literature. We present two cases of seat-belt-associated PTAO, both evaluated with contrast-enhanced computed tomography (CECT), highlighting the importance of early recognition and tailored imaging protocols in polytrauma scenarios. In both cases, the aortic injury was located at the level of L3, anatomically aligned with vertebral fractures, supporting a direct traumatic mechanism. One patient underwent emergent surgical repair but succumbed to complications, while the other was successfully treated with an endovascular approach and remained stable at one-year follow-up. Key diagnostic features included sudden absence of aortic opacification, absence of vascular calcifications, and lack of collateral circulation, helping distinguish acute PTAO from chronic conditions such as Leriche syndrome. Our findings emphasize the need for radiologists and emergency clinicians to maintain a high index of suspicion for PTAO in patients with seat-belt injuries and vertebral fractures. Prompt diagnosis using CECT can guide urgent therapeutic decisions and improve patient outcomes. This report adds to the limited literature on abdominal aortic injury following blunt trauma and proposes practical imaging criteria for early detection.<\/jats:p>","DOI":"10.1093\/bjrcr\/uaag015","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T03:48:55Z","timestamp":1776224935000},"source":"Crossref","is-referenced-by-count":0,"title":["Complete abdominal aortic occlusion following seat-belt trauma: a proposal for early recognition"],"prefix":"10.1093","volume":"12","author":[{"given":"Antonio","family":"Galluzzo","sequence":"first","affiliation":[{"name":"Department of Experimental and Clinical Biomedical Sciences \u201cMario Serio\u201d, University of Florence , Florence 50127,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Lampis","sequence":"additional","affiliation":[{"name":"Department of Radiology, Duilio Casula University Hospital , Cagliari 09121,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Esposito","sequence":"additional","affiliation":[{"name":"Department of Medical, Surgical and Neuro Sciences, Diagnostic Imaging, University of Siena , Siena 53100,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7028-9047","authenticated-orcid":false,"given":"Diletta","family":"Cozzi","sequence":"additional","affiliation":[{"name":"Department of Emergency Radiology, Careggi University Hospital , Florence 50127,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Ferrari","sequence":"additional","affiliation":[{"name":"Department of Emergency Radiology, San Camillo-Forlanini Hospital , Rome 00100,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Galluzzo","sequence":"additional","affiliation":[{"name":"Department of Emergency Radiology, San Camillo-Forlanini Hospital , Rome 00100,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vittorio","family":"Miele","sequence":"additional","affiliation":[{"name":"Department of Experimental and Clinical Biomedical Sciences \u201cMario Serio\u201d, University of Florence , Florence 50127,","place":["Italy"]},{"name":"Department of Emergency Radiology, Careggi University Hospital , Florence 50127,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"2026042713195893000_uaag015-B1","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1097\/TA.0000000000000470","article-title":"Evaluation and management of blunt traumatic aortic injury","volume":"78","author":"Fox","year":"2015","journal-title":"J Trauma Acute Care Surg"},{"key":"2026042713195893000_uaag015-B2","first-page":"92","article-title":"Acute aortic occlusion","volume":"49","author":"Dominkovi\u0107","year":"2013","journal-title":"Medicina (Croatia)"},{"key":"2026042713195893000_uaag015-B3","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/s0002-9610(98)00129-9","article-title":"Acute occlusion of the abdominal aorta","volume":"176","author":"Surowiec","year":"1998","journal-title":"Am J Surg"},{"key":"2026042713195893000_uaag015-B4","doi-asserted-by":"publisher","first-page":"995","DOI":"10.1016\/j.jvs.2019.11.038","article-title":"Clinical aspects and present challenges of the seat belt aorta","volume":"72","author":"Gouveia E Melo","year":"2020","journal-title":"J Vasc Surg"},{"key":"2026042713195893000_uaag015-B5","doi-asserted-by":"publisher","first-page":"2111","DOI":"10.1148\/rg.2019190062","article-title":"Multidetector CT in vascular injuries resulting from pelvic fractures: a primer for diagnostic radiologists","volume":"39","author":"Raniga","year":"2019","journal-title":"Radiographics"},{"key":"2026042713195893000_uaag015-B6","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-62054-1","volume-title":"Diagnostic Imaging in Polytrauma Patients","author":"Miele","year":"2018"},{"key":"2026042713195893000_uaag015-B7","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1177\/1538574412469446","article-title":"Seat belt injuries of the abdominal aorta in adults - 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