Post Traumatic Intra-Abdominal Pseudo-Aneurysms in Children

Abstract

Pseudoaneurysms are uncommon following blunt abdominal trauma. A review of the literature has shown that such cases are usually managed aggressively. We report our experience of two cases of post traumatic intra-abdominal pseudoaneurysms which were managed conservatively.

Résumé

Les pseudo-anévrismes sont rares après un traumatisme fermé de l'abdomen. La revue de la littérature a montré que la majorité de ces cas était traitée de manière chirurgicale. Nous rapportons notre expérience de deux cas de pseudo-anévrismes post-traumatiques intra-abdominal qui ont été traités de manière conservative.

Resumen

Los pseudoaneurismas son raros después de traumas abdominales cerrados. Una revisión de la literatura solamente muestra algunos casos que han sido tratados agresivamente. Presentamos nuestra experiencia con dos casos de pseudoaneurisma traumático intraabdominal que fueron tratados de forma conservadora.

Zusammenfassung

Pseudoaneurysmen nach einem stumpfen Bauchtrauma sind selten. Ein Überblick der Literatur ergab, dass diese Fälle im Allgemeinen aggressiv behandelt wurden. Wir berichten über zwei Fälle eines posttraumatischen intra-abdominellen Aneurysmas, die konservativ behandelt wurden.

Key words

Intra-abdominal pseudoaneurysm - aneurysm - blunt abdominal trauma

Mots-clés

Pseudo-anévrisme intra-abdominal - anévrisme - traumatisme fermé de l'abdomen

Palabras clave

Pseudoaneurisma intra-abdominal post-traumático - aneurisma - trauma abdominal romo

Schlüsselwörter

Aneurysma - Pseudoaneurysma - stumpfes Bauchtrauma - Therapie

References

• 1 Acton C H, Thomas S, Clark R, Pitt W R, Nixon J W, Leditschke J F. Bicycle accidents in children - abdominal trauma and handlebars.  Med J Aust. 1994;  160 344-346
• 2 Bass J, Di Lorenzo M, Desjardins J G, Grignon A, Ovimet A. Blunt pancreatic injuries in children: the role of percutaneous external drainage in the treatment of pancreatic pseudocysts.  J Paediatr Surg. 1988;  23 721-724
• 3 Ciftci A O, Tanyel F C, Salman A B, Buyukpamukcu N, Hicsonmez A. Gastrointestinal tract perforation due to blunt abdominal trauma.  Paediatr Surg Int. 1998;  13 259-264
• 4 Hassantsh A S, Mock C, Maier R V. Traumatic visceral artery aneurysm: presentation as massive hemorrhage from perforation into an adjacent hollow viscus.  J Trauma. 1995;  38 357-360
• 5 Hidalgo F, Narvaez J, Rene M. Treatment of hemobilia with selective hepatic artery embolization.  J Vasc Interv Radiol. 1995;  6 793-798
• 6 Knowdley D, Aggarwal A, Sachs P. Delayed hemorrhage after percutaneous liver biopsy: role of therapeutic angiography.  J Clin Gastroenterol. 1994;  19 50-53
• 7 Sidhu K M, Shaw D W, Daly C P, Waldhausen J W, Coldwell D. Post-traumatic hepatic pseudoaneurysms in children.  Paediatr Radiol. 1999;  29 46-52
• 8 Ruess L, Sivit C J, Eichelberger M R, Gotschall C S, Taylor G A. Blunt abdominal trauma in children: impact of CT on operative and non-operative management.  Am J Roentgenol. 1997;  169 1011-1014
• 9 Schwartz R, Teitelbaum G, Katz M. Effectiveness of transcatheter embolization in the control of hepatic vascular injuries.  J Vasc Interv Radiol. 1993;  4 359-365
• 10 Swana H S, Cohn S M, Burns G A, Egglin T K. Renal artery pseudoaneurysm after blunt abdominal trauma: case report and literature review.  J Trauma. 1996;  40 459-461
• 11 Takishima T, Sugimoto K, Asari Y, Kikuno T, Hirata M, Kakita A. Characteristics of pancreatic injury in children: a comparison with such injury in adults.  J Paediatr Surg. 1996;  31 896-900
• 12 Uflacker R. Transcatheter embolization of arterial aneurysms.  Br J Radiol. 1986;  59 317-324
• 13 Uflacker R, Paolini R M, Lima S. Management of traumatic hematuria by selective renal artery embolization.  J Urol. 1984;  132 662-667