Seatbelt sign

Case contributed by Dr Bruno Di Muzio


Presents post low-speed MVA. Bruising from seatbelt and tender to lower abdomen.

Patient Data

Age: 36-year-old
Gender: Female

CT Abdomen and pelvis (selected images)

Fat stranding in the subcutaneous tissues of the lower anterior abdominal wall is in keeping with the seatbelt injury. The liver, gallbladder, pancreas, adrenal glands, spleen, and kidneys do not show acute traumatic injuries (not illustrated above). Bowel is unremarkable. No free gas or free fluid in the peritoneal cavity. Pleural bases are clear. No fractures within the imaged bones.

Case Discussion

Seatbelt sign refers to a bruising in the distribution of a seatbelt (i.e. horizontal and/or diagonal) across the abdomen, chest and sometimes neck. 

PlayAdd to Share

Case information

rID: 51968
Published: 13th Apr 2017
Last edited: 14th Apr 2017
Inclusion in quiz mode: Excluded

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.