IIDA Tomohiro    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Professor and Division head
Article types	Original article
Language	English
Peer review	Peer reviewed
Title	[A case of gastric mucosal laceration due to seat belt injury].
Journal	Formal name：Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology Abbreviation：Nihon Shokakibyo Gakkai Zasshi ISSN code：04466586/04466586
Domestic / Foregin	Foregin
Volume, Issue, Page	111(1),pp.92-7
Author and coauthor	Yasuoka Hidetoshi, Maruyama Hideki, Koja Akiko, Iida Tomohiro
Authorship	Corresponding author
Publication date	2014/01
Summary	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