{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:07Z","timestamp":1756339507839,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,10,12]]},"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Seat belt syndrome describes a combination of injuries a person restrained by a seat belt may have after a high-velocity motor vehicle crash. A seat belt-shaped bruise may be present across the torso. A Chance fracture is a horizontal vertebral fracture, resulting from spinal hyperflexion, and in disruption of the three columns of the vertebral bodies. Its association with intra-abdominal injury is rare in children. A male, in early adolescence, was involved in a high-energy car crash. A total-body CT scan highlighted lacerations of the anterolateral abdominal wall and an acute L4 Chance fracture. Another CT scan performed because of clinical deterioration, showed cecal perforation, caused by a mesenteric tear and non-displaced fracture of the left sacral ala. He underwent a right hemicolectomy with ileocolic anastomosis and protective ileostomy and was immobilised in a body jacket orthosis for 3 months. The ileostomy was closed 3 months later. At 2-year follow-up, he is well.<\/jats:p>","DOI":"10.1136\/bcr-2023-254631","type":"journal-article","created":{"date-parts":[[2023,10,29]],"date-time":"2023-10-29T21:15:18Z","timestamp":1698614118000},"page":"e254631","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Seat belt syndrome with caecal perforation and Chance fracture in an adolescent"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7349-3104","authenticated-orcid":false,"given":"Christelle","family":"Destinval","sequence":"first","affiliation":[{"name":"Pediatric Surgery, Nancy Regional University Hospital Center, Nancy, France"},{"name":"Regional Hospital Centre Metz-Thionville, Metz, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Larmure","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Nancy Regional University Hospital Center, Nancy, France"},{"name":"Regional Hospital Centre Metz-Thionville, Metz, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Journeau","sequence":"additional","affiliation":[{"name":"Orthopaediatrics, Nancy Regional University Hospital Center, Nancy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Louis","family":"Lemelle","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Nancy Regional University Hospital Center, Nancy, France"},{"name":"Regional Hospital Centre Metz-Thionville, Metz, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,10,29]]},"reference":[{"key":"2025082708321069000_16.10.e254631.1","first-page":"373","article-title":"Seat-belt injuries in children involved in motor vehicle crashes","volume":"48","author":"Santschi","year":"2005","journal-title":"Can J Surg"},{"key":"2025082708321069000_16.10.e254631.2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.37897\/RJP.2019.2.2","article-title":"Abdominal hollow viscus trauma in children, injury mechanisms and treatment principles","volume":"68","author":"Tarca","year":"2019","journal-title":"Ro J Pediatr"},{"key":"2025082708321069000_16.10.e254631.3","first-page":"65","article-title":"A case report: upper thoracic chance fracture with monoplegia\u2026 an unusual presentation","volume":"7","author":"Khurjeka","year":"2017","journal-title":"J Orthop Case Rep"},{"key":"2025082708321069000_16.10.e254631.4","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12506"},{"key":"2025082708321069000_16.10.e254631.5","doi-asserted-by":"crossref","DOI":"10.1016\/j.tcr.2021.100499","article-title":"Delayed diagnosis of a flexion-distraction spinal injury and occult small bowel injury in a pediatric trauma patient: importance of recognizing the abdominal \u201cSeatbelt sign\"","volume":"34","author":"Henry","year":"2021","journal-title":"Trauma Case Rep"},{"key":"2025082708321069000_16.10.e254631.6","article-title":"A case of delayed cecal perforation after abdominal (seat belt) injury","volume":"14","author":"Okeke","year":"2022","journal-title":"Cureus"},{"key":"2025082708321069000_16.10.e254631.7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2000.00502.x"},{"key":"2025082708321069000_16.10.e254631.8","unstructured":"Chakraborty RK , Burns B . 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