Lap Belt in Surgery — 5yo Child | Trauma Surgery | SMLE Q#11065
SMLE Question #11065
Surgery
Trauma Surgery
Objective: OBJ-TRM-AIRWAY-01
Last updated: February 2026
A 5-year-old boy is brought to the emergency department after a high-speed motor vehicle collision; he was a restrained rear-seat passenger with a lap belt. He reports back and upper abdominal pain. Examination shows lumbar spine tenderness and mild epigastric tenderness without guarding or rigidity. CT of the spine shows a lumbar flexion–distraction (Chance) fracture. Abdominal CT is obtained to assess for associated intra-abdominal injury. Which associated finding is most likely on abdominal CT?
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