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We present a case of a male patient injured in a high-velocity car accident presented with seat belt sign and peritoneal signs. Laparotomy revealed uncommon degloving injury of the small intestine with additional mesentery lesions and lacerations of the ascending and descending colon. Concomitant transection of both rectus abdominis muscles was also encountered.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf445","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T04:44:52Z","timestamp":1751517892000},"source":"Crossref","is-referenced-by-count":0,"title":["Uncommon degloving intestinal injury accompanied by complete disruption of the rectus muscles in patient with seat belt sign: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5286-3532","authenticated-orcid":false,"given":"Andrej","family":"Nikolovski","sequence":"first","affiliation":[{"name":"Department of Visceral Surgery. University Surgery Hospital \u201cSt. Naum Ohridski\u201d , Bul. 11-ti Oktomvri 53, 1000 Skopje ,","place":["North Macedonia"]},{"name":"Medical Faculty in Skopje, Ss. Cyril and Methodius University in Skopje , 50 divizija, 1000 Skopje ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radomir","family":"Gelevski","sequence":"additional","affiliation":[{"name":"Department of Surgery, General Hospital Kumanovo , 11 Oktomvri b.b., 1300 Kumanovo ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Argirov","sequence":"additional","affiliation":[{"name":"Department of Surgery, General Hospital Kumanovo , 11 Oktomvri b.b., 1300 Kumanovo ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cemal","family":"Ulusoy","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Prof. Dr. Cemil Tascioglu Sehir Hastanesi , Kaptan Pa\u015fa, Dar\u00fclaceze Cd. No: 27, 34384 \u015ei\u015fli, Istanbul ,","place":["Turkey"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"2025070300444842000_ref1","doi-asserted-by":"publisher","first-page":"703","DOI":"10.1007\/s13304-020-00929-w","article-title":"Traumatic hollow viscus and mesenteric injury: role of CT and potential diagnostic\u2013therapeutic algorithm","volume":"73","author":"Bonomi","year":"2021","journal-title":"Updates Surg"},{"key":"2025070300444842000_ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13017-022-00418-y","article-title":"WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment","volume":"17","author":"Smyth","year":"2022","journal-title":"World J Emerg Surg"},{"key":"2025070300444842000_ref3","doi-asserted-by":"publisher","first-page":"e73","DOI":"10.1097\/TA.0000000000003319","article-title":"Organ injury scaling 2020 update: bowel and mesentery","volume":"91","author":"Tominaga","year":"2021","journal-title":"J Trauma Acute Care Surg"},{"key":"2025070300444842000_ref4","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.jviscsurg.2016.04.007","article-title":"Hollow viscus injury due to blunt trauma: a review","volume":"153","author":"B\u00e8ge","year":"2016","journal-title":"J Visc Surg"},{"key":"2025070300444842000_ref5","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1097\/01.TA.0000046261.06976.6A","article-title":"Incidence of hollow viscus injury in blunt trauma: an analysis from 275,557 trauma admissions from the EAST multi-institutional trial","volume":"54","author":"Watts","year":"2003","journal-title":"J Trauma"},{"key":"2025070300444842000_ref6","doi-asserted-by":"publisher","first-page":"295","DOI":"10.4103\/0974-2700.142764","article-title":"Abdominal injury patterns in patients with seatbelt signs requiring laparotomy","volume":"7","author":"Biswas","year":"2014","journal-title":"J Emergencies Trauma Shock"},{"key":"2025070300444842000_ref7","doi-asserted-by":"publisher","first-page":"1457","DOI":"10.1007\/s00268-023-06954-1","article-title":"Accuracy of CT scan for detecting hollow viscus injury in penetrating abdominal trauma","volume":"47","author":"Wolmarans","year":"2023","journal-title":"World J Surg"},{"key":"2025070300444842000_ref8","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1016\/j.amjsurg.2018.11.018","article-title":"Occult bowel injury after blunt abdominal trauma","volume":"218","author":"Loftus","year":"2019","journal-title":"Am J Surg"},{"key":"2025070300444842000_ref9","doi-asserted-by":"publisher","first-page":"958","DOI":"10.1016\/j.ijscr.2013.08.003","article-title":"Blunt transection of rectus abdominis following seatbelt related trauma with associated small and large bowel injury","volume":"4","author":"Patel","year":"2013","journal-title":"Int J Surg Case Rep"},{"key":"2025070300444842000_ref10","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/4335543","article-title":"Complete transection of the abdominal wall secondary to being a rear seat-belted passenger","volume":"2024","author":"Zuberi","year":"2024","journal-title":"Case Rep Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf445\/63649276\/rjaf445.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf445\/63649276\/rjaf445.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T04:44:52Z","timestamp":1751517892000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf445\/8182753"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf445","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]}}}