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2024, Vol: 8, Issue: 5
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Case Report

Online Publishing Date:
20 / 07 / 2023

 


Bucket handle mesenteric tear with seatbelt sign following a motor vehicle accident: a case report

Ahmed M. Abu Quren, Basmah Albloushi, Abdullah A. Alfaraj, Dunya N. Alfaraj, Mamoun Nabri, Abdullah S. Alshahrani.


Abstract
Background: Traumatic bucket-handle mesenteric injury is exceptionally rare, as only 20 cases were reported during the past 63 years. It is a life-threatening injury that is difficult and challenging to detect during bedside physical examination and requires typical diagnostic tests such as computed tomography (CT) scan. It occurs when the mesentery avulses off, a bowel loop becomes devascularized and can likewise become ischemic and perforated if left untreated. Most commonly it is caused by motor vehicle crush.
Case presentation: A 23-year-old male was brought to the emergency department as a case of motor vehicle accident with frontal impact. The patient was the driver and wearing the seat belt. Abdominal examination revealed a seat belt sign, generalized tenderness and rigidity, and absence of bowel sound by auscultation. However, patient lacked any related external wounds or injuries. Despite being clinically and vitally stable with no indications requiring the presence of the trauma surgeon, the emergency physician activated the trauma team code based on their clinical judgment. Eventually the patient was taken to operation room for laparotomy as the patient was having acute abdomen, and bucket-handle mesenteric tear was identified even though abdomen CT didn’t show specific findings.
Conclusion: The study concluded that delaying in the diagnosis of traumatic bucket-handle mesenteric injuries and definitive surgical interventions could lead to adverse outcomes and death.

Key words: Mesenteric injury, abdominal trauma, seat belt sign, motor vehicle accident.


 
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How to Cite this Article
Pubmed Style

Quren AMA, Albloushi B, Alfaraj AA, Alfaraj DN, Nabri M, Alshahrani AS. Bucket handle mesenteric tear with seatbelt sign following a motor vehicle accident: a case report. IJMDC. 2023; 7(10): 1425-1428. doi:10.24911/IJMDC.51-1687887223

Web Style

Quren AMA, Albloushi B, Alfaraj AA, Alfaraj DN, Nabri M, Alshahrani AS. Bucket handle mesenteric tear with seatbelt sign following a motor vehicle accident: a case report. https://www.ijmdc.com/?mno=159062 [Access: May 10, 2024]. doi:10.24911/IJMDC.51-1687887223

AMA (American Medical Association) Style

Quren AMA, Albloushi B, Alfaraj AA, Alfaraj DN, Nabri M, Alshahrani AS. Bucket handle mesenteric tear with seatbelt sign following a motor vehicle accident: a case report. IJMDC. 2023; 7(10): 1425-1428. doi:10.24911/IJMDC.51-1687887223


Vancouver/ICMJE Style

Quren AMA, Albloushi B, Alfaraj AA, Alfaraj DN, Nabri M, Alshahrani AS. Bucket handle mesenteric tear with seatbelt sign following a motor vehicle accident: a case report. IJMDC. (2023), [cited May 10, 2024]; 7(10): 1425-1428. doi:10.24911/IJMDC.51-1687887223


Harvard Style

Quren, A. M. A., Albloushi, . B., Alfaraj, . A. A., Alfaraj, . D. N., Nabri, . M. & Alshahrani, . A. S. (2023) Bucket handle mesenteric tear with seatbelt sign following a motor vehicle accident: a case report. IJMDC, 7 (10), 1425-1428. doi:10.24911/IJMDC.51-1687887223


Turabian Style

Quren, Ahmed M. Abu, Basmah Albloushi, Abdullah A. Alfaraj, Dunya N. Alfaraj, Mamoun Nabri, and Abdullah S. Alshahrani. 2023. Bucket handle mesenteric tear with seatbelt sign following a motor vehicle accident: a case report. International Journal of Medicine in Developing Countries, 7 (10), 1425-1428. doi:10.24911/IJMDC.51-1687887223


Chicago Style

Quren, Ahmed M. Abu, Basmah Albloushi, Abdullah A. Alfaraj, Dunya N. Alfaraj, Mamoun Nabri, and Abdullah S. Alshahrani. "Bucket handle mesenteric tear with seatbelt sign following a motor vehicle accident: a case report." International Journal of Medicine in Developing Countries 7 (2023), 1425-1428. doi:10.24911/IJMDC.51-1687887223


MLA (The Modern Language Association) Style

Quren, Ahmed M. Abu, Basmah Albloushi, Abdullah A. Alfaraj, Dunya N. Alfaraj, Mamoun Nabri, and Abdullah S. Alshahrani. "Bucket handle mesenteric tear with seatbelt sign following a motor vehicle accident: a case report." International Journal of Medicine in Developing Countries 7.10 (2023), 1425-1428. Print. doi:10.24911/IJMDC.51-1687887223


APA (American Psychological Association) Style

Quren, A. M. A., Albloushi, . B., Alfaraj, . A. A., Alfaraj, . D. N., Nabri, . M. & Alshahrani, . A. S. (2023) Bucket handle mesenteric tear with seatbelt sign following a motor vehicle accident: a case report. International Journal of Medicine in Developing Countries, 7 (10), 1425-1428. doi:10.24911/IJMDC.51-1687887223




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