E-ISSN 1658-7820
 

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.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Ahmed M. Abu Quren
Articles by Basmah Albloushi
Articles by Abdullah A. Alfaraj
Articles by Dunya N. Alfaraj
Articles by Mamoun Nabri
Articles by Abdullah S. Alshahrani
on Google
on Google Scholar


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: June 05, 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 June 05, 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





Most Viewed Articles
Most Accessed Articles

  • Marginal adaptation of fixed prosthodontics
    Shahad Mohammed Halawani, Sahar Amer Al-Harbi
    IJMDC. 2017; 1(2): 78-84
    » Abstract » doi: 10.24911/IJMDC.1.2.7

  • Parasites in central nervous system
    Amal Ahmed Mohamed, Asmaa Mohamed Mansour
    IJMDC. 2017; 1(2): 72-77
    » Abstract » doi: 10.24911/IJMDC.1.2.6

  • Non-diabetic retinopathy: a case report
    Hassan F. Alkwikbi, Nabil Mamon Abdelfattah, Haithem Mamon Abdelfattah
    IJMDC. 2017; 1(1): 33-37
    » Abstract » doi: 10.24911/IJMDC.1.1.6

  • Vitamin D deficiency among high school female students in Riyadh
    Sahar Mohsen Aldhafeeri, Fatemah Ibraheem Alrawaji, Abrar Mubarak Algharbi, Alanoud Abdullah Alhessan, Ayat Sami Qabaja, Ghaleah Abdulaziz Alnassar, Ghaliah Ofayn Alsulami, Mashael Belal Alrubaian, Norah Abdulaziz Alhatim, Salehah Salih Alotaibi, Zahra Ali Alkhamees
    IJMDC. 2017; 1(1): 18-23
    » Abstract » doi: 10.24911/IJMDC.1.1.4

  • Prognosis of chronic complications of diabetes mellitus (DM) after multiple events of diabetic ketoacidosis (DKA)
    Baraa Faiez Rajab, Anwar Essa Alamrim, Ali Essa Alamri
    IJMDC. 2019; 3(5): 474-479
    » Abstract » doi: 10.24911/IJMDC.51-1546551993

  • Most Downloaded
    Top Downloaded Articles

  • Anti-IL-17 markedly inhibited the in vitro granuloma induced by Schistosoma mansoni soluble egg antigen.
    Asmaa Ezz, Irene S. Gmail, Fatma Elzahraa H. Salem, Rabab Salama, Soad Nady
    IJMDC. 2018; 2(January 2018): 38-46
    » Abstract » doi: 10.24911/IJMDC.2.1.7

  • Vitamin D deficiency among high school female students in Riyadh
    Sahar Mohsen Aldhafeeri, Fatemah Ibraheem Alrawaji, Abrar Mubarak Algharbi, Alanoud Abdullah Alhessan, Ayat Sami Qabaja, Ghaleah Abdulaziz Alnassar, Ghaliah Ofayn Alsulami, Mashael Belal Alrubaian, Norah Abdulaziz Alhatim, Salehah Salih Alotaibi, Zahra Ali Alkhamees
    IJMDC. 2017; 1(1): 18-23
    » Abstract » doi: 10.24911/IJMDC.1.1.4

  • Antibiotic Resistance Crisis
    Nuha Saad Mobarki, Buthaina Abdullah Almerabi, Ahmad Hattan Hattan
    IJMDC. 2019; 3(6): 561-564
    » Abstract » doi: 10.24911/IJMDC.51-1549060699

  • The knowledge of mothers about children malnutrition and associated factors
    Anas Abdulrahman Aljohani, Mujahid Abdulrahman Aljohani
    IJMDC. 2020; 4(1): 7-11
    » Abstract » doi: 10.24911/IJMDC.51-1541620358

  • Knowledge and attitude of caregivers of cerebral palsy children in Riyadh city
    Abdulaziz Alruwaished, Baleegh Ali, Lubna Abdullah Alhowaimil , Abaraa adullah Alhowaimil, Najd Abdullah Alhowaimil, Aminah Alessa
    IJMDC. 2020; 4(1): 12-17
    » Abstract » doi: 10.24911/IJMDC.51-1547833051

  • Most Cited Articles
    Most Cited Articles

  • Antibiotic Resistance Crisis
    Nuha Saad Mobarki, Buthaina Abdullah Almerabi, Ahmad Hattan Hattan
    IJMDC. 2019; 3(6): 561-564
    » Abstract » doi: 10.24911/IJMDC.51-1549060699
    Cited : 34 times [Click to see citing articles]

  • Prevalence of depression, anxiety and stress among diabetes mellitus patients in Arar, Northern Saudi Arabia
    AMohammed Elamin Mukrim, Nujud Muteb D. Alshammari, Wurud Muteb D. Alshammari, Maali Subhi T. Alshammari, Yousef Nasif R. Alshammari, Abdulaziz Sael M. Alshammari, Maisa Hamad F. Alanazi, Abdulelah Abdulrhman F. Alzammam, Muharib Mana M. Alshammari, Slwa Khaled Abu Asyah, Aseel Jamal Alzuhayri, Mushref Saeid Alshammari
    IJMDC. 2019; 3(3): 229-233
    » Abstract » doi: 10.24911/IJMDC.51-1542576396
    Cited : 8 times [Click to see citing articles]

  • Knowledge, attitude, and practice of breast self-examination toward breast cancer among female students at King Saud University in Riyadh, Saudi Arabia
    Abdullah Nasser Alomair, Dania Ghazi Felemban, Mohannad Sami Felemban, Jameel Abdullah Awadain, Ammar Saud Altowairqi, Nawaf Fawzan Alfawzan, Fatimah Mohammed Almazayen, Abdulrahman Jalwi Korkoman, Nawaf Saad Alrusayyis
    IJMDC. 2020; 4(2): 429-434
    » Abstract » doi: 10.24911/IJMDC.51-1576668182
    Cited : 8 times [Click to see citing articles]

  • Population awareness about rheumatoid arthritis in Jazan region, Saudi Arabia
    Ahmad Ali Hazzazi, Mohssen Hassen Ageeli, Ahmed Ali Muyidi, Abdulaziz Mohammad Abulgasim, Abdullah Ahmad Yateemi, Nabil Alhakami
    IJMDC. 2020; 4(3): 668-675
    » Abstract » doi: 10.24911/IJMDC.51-1576010943
    Cited : 4 times [Click to see citing articles]

  • Prevalence and factors associated with depression among health care workers in National Guard Hospital in Riyadh, KSA
    Noor Mohammad AlFahhad
    IJMDC. 2018; 2(September 2018): 92-96
    » Abstract » doi: 10.24911/IJMDC.51-1526306040
    Cited : 4 times [Click to see citing articles]