イイダ　トモヒロ   Iida Tomohiro   飯田　知弘    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	[A case of gastric mucosal laceration due to seat belt injury].
掲載誌名	正式名：Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology 略　 称：Nihon Shokakibyo Gakkai Zasshi ISSNコード：04466586/04466586
掲載区分	国外
巻・号・頁	111(1),pp.92-7
著者・共著者	Yasuoka Hidetoshi, Maruyama Hideki, Koja Akiko, Iida Tomohiro
担当区分	責任著者
発行年月	2014/01
概要	A 69-year-old man was involved in a road traffic accident wherein his car hit a telegraph pole and turned over. He reported wearing a seatbelt and denied any injuries or pain at that time. Six hours after the accident, however, he developed melena and hematemesis. Computed tomography performed on admission to our hospital revealed no evidence of traumatic pneumothorax, intra-abdominal bleeding, or pneumoperitoneum. However, there was evidence of contrast medium leakage from the stomach. Emergency endoscopy revealed a mucosal laceration on the lesser curvature in the cardiac region, with evidence of arterial hemorrhage from visible vessels. Hemostasis was achieved endoscopically by injection of hypertonic saline-epinephrine and clipping. Endoscopic treatment of gastric injury following blunt abdominal trauma is rare. Here we report a case and present a review of the relevant literature.
PMID	24390263