"A positive abdominal seatbelt sign, in combination with abdominal pain or tenderness, results in a higher likelihood of intra-abdominal injuries; some cohorts demonstrate a higher incidence of solid organ injuries 6 and others bowel/mesenteric injury 1,3. There exists little consensus regarding the significance of the specific (i.e. ecchymosis/abrasion) superficial injury present as it pertains to underlying injuries. CT of the abdomen/pelvis is highly sensitive in these patients for identifying significant intraabdominal injuries requiring exploratory laparotomy 6."