Widespread involvement of hepatic, renal and mesenteric arteries with multiple mycotic aneurysms in a child

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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
18:50

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment

Published on: September 25, 2009

Sibel Kul1, Aydin Aydin, Hasan Dinç

  • 1Departments of Radiology, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey.

The Turkish Journal of Pediatrics
|May 8, 2007
PubMed

Insights

Mycotic visceral microaneurysms are rare. This case study shows an 11-year-old child with septicemia whose multiple arterial aneurysms resolved with antibiotics, avoiding surgery.

Area of Science:

  • Vascular Surgery
  • Pediatric Infectious Diseases
  • Radiology

Background:

  • Mycotic aneurysms, infections of arterial walls, are rare, especially multiple visceral ones.
  • Septicemia in children can lead to serious complications, including vascular issues.

Observation:

  • An 11-year-old presented with clinical and biochemical evidence of septicemia.
  • Arteriography revealed multiple microaneurysms in the renal, hepatic, gastroduodenal, ileocolic, and right colic arteries.

Findings:

  • Six weeks of antibacterial treatment successfully resolved the septicemia.
  • The majority of the visceral microaneurysms healed spontaneously without intervention.

Implications:

  • This case highlights the potential for conservative management of mycotic visceral microaneurysms in children.
  • Prompt diagnosis and effective antibiotic therapy can lead to favorable outcomes, preventing the need for invasive procedures.

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