In regard to the significant and interesting case report, entitled "Intra-Abdominal Injury from Safety Belt in Auto Accident" by Jacob Kulowski and William B. Rost, in the December, 1956, issue of the Archives, we have the following comments.
Except for the unfortunate title, we concur in the report in its reportorial aspects, of course; but with the "Comment" we cannot concur. The two possibilities are obvious: "The primary injury could have been caused either by contusion through pressure from the belt or the belt buckle, or inertial localized hemorrhage and subsequent inflammatory reaction of the mesenteric peritoneum." In our opinion, the second explanation seems the more likely, for the following reasons:
1. There was no evidence of severe snubbing action of the belt. For snubbing action of the belt to have produced the reported injury, one would expect to have abrasions, bruises, or ecchymoses in the region of the greater