Seat Belt Sign and Its Significance
A 54-year-old gentleman presented with a history of road traffic accident while he was travelling in car got smashed into one pillar. All three fellow passengers were safe. He had history of transient loss of consciousness. There was no history of vomiting, ear, nasal bleed or convulsions. He was complaining of back pain radiating to left lower limb. There was chest pain. There was no pain abdomen. He was a known hypertensive on regular medication. Magnetic resonance imaging lumbosacral spine showed mild L4-5 prolapsed intervertebral disc (PIVD) with left nerve root compression. X-ray chest, abdomen and pelvis were normal. Computed tomography scan chest showed mild pleural effusion on the right side. Ultrasound abdomen was normal. Color Doppler for neck vessels was normal. Local examination revealed an oblique bruise in the neck and another bruise in the right flank (diagonally opposite to the neck bruise) suggestive of seat belt-related injury []. Patient was managed conservatively and did well.