Seat-belt injuries of the left colon

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Abstract
Two patients with a particular type of isolated injury to the left colon produced by the lapstrap of a seat belt are described. The literature on this subject is reviewed and the features and management of these injuries are discussed, with particular reference to the delay in presentation often seen in such patients and to the frequent association with ischaemic damage which makes proximal colostomy advisable where primary repair is undertaken.

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