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[Post-traumatic hepatic artery pseudoaneurysm. A case report]
1Service de radiologie pédiatrique, CHU Ibn Sina, Rabat, Maroc. mahi.m@caramail.com
Insights
Traumatic hepatic artery pseudoaneurysm is a rare liver injury in children. Diagnosis uses duplex sonography and CT angiography, with transcatheter embolization as the preferred treatment.
Area of Science:
- Pediatric Surgery
- Vascular Radiology
- Diagnostic Imaging
Background:
- Hepatic artery pseudoaneurysms are uncommon but serious complications of liver trauma.
- Pediatric liver trauma requires specialized diagnostic and management approaches.
Observation:
- A case of traumatic hepatic artery pseudoaneurysm in a 9-year-old child is presented.
- Diagnosis was established using duplex sonography and helical CT angiography.
- Arteriography confirmed the pseudoaneurysm and guided treatment.
Findings:
- Duplex sonography and CT angiography are effective for diagnosing traumatic hepatic artery pseudoaneurysms in children.
- Transcatheter embolization successfully managed the hepatic artery pseudoaneurysm.
Implications:
- This case highlights the importance of advanced imaging in pediatric liver trauma.
- Endovascular embolotherapy is a viable and effective treatment for hepatic artery pseudoaneurysms in pediatric patients.
Case Report:
We report a case of traumatic hepatic artery pseudoaneurysm in a 9-year-old child. The diagnosis was made by duplex sonography and helical CT angiography. Arteriography confirmed and managed the lesion with transcatheter embolization.
Conclusion:
The traumatic hepatic artery pseudoaneurysm is an uncommon complication of liver trauma in children whose diagnosis is made by duplex sonography and CT angiography. Endovascular embolotherapy is the treatment of choice.