Uncommon degloving intestinal injury accompanied by complete disruption of the rectus muscles in patient with seat belt sign: a case report

Nikolovski, Andrej; Gelevski, Radomir; Argirov, Ivan; Ulusoy, Cemal

doi:10.1093/jscr/rjaf445

Uncommon degloving intestinal injury accompanied by complete disruption of the rectus muscles in patient with seat belt sign: a case report

Journal

Journal of surgical case reports

Date Issued

2025-07

Author(s)

Gelevski, Radomir

Argirov, Ivan

Ulusoy, Cemal

DOI

10.1093/jscr/rjaf445

Abstract

Blunt abdominal trauma rarely causes injury to hollow intraabdominal viscus. Still, in victims with seat belt sign, a high index of suspicion should be raised. Additionally, accompanied injury to the abdominal wall muscles is reported. We present a case of a male patient injured in a high-velocity car accident presented with seat belt sign and peritoneal signs. Laparotomy revealed uncommon degloving injury of the small intestine with additional mesentery lesions and lacerations of the ascending and descending colon. Concomitant transection of both rectus abdominis muscles was also encountered.