TY - JOUR T1 - The seatbelt sign: early recognition may be life-saving JF - BMJ Case Reports DO - 10.1136/bcr-2017-219814 VL - 2017 SP - bcr-2017-219814 AU - Pamela Milito AU - Stefano Siboni AU - Emanuele Asti AU - Luigi Bonavina Y1 - 2017/04/22 UR - http://casereports.bmj.com/content/2017/bcr-2017-219814.abstract N2 - A 47-year-old woman with body mass index (BMI) of 27kg/m2 was involved in a high speed (60 mph) frontal car accident. She was the driver wearing seatbelts and the airbag deployed. There was a transient loss of consciousness before arrival to the emergency department. On presentation, the patient was breathing spontaneously and was haemodynamically stable: blood pressure was 125/80 mm Hg, heart rate 77 beats/min and the Glasgow Coma Scale (GCS) was 15. Physical examination of the abdomen revealed mild generalised tenderness. A linear ecchymosis (seatbelt sign) was present at the level of the left superior iliac spine extending across the right flank. Laboratory tests showed normal C reactive protein, increased creatine kinase (908 U/L) and white cell count (0.00001829×109 … ER -