Aortic bifurcation rupture after blunt abdominal trauma in a child: a case report

Felix C Blanco1, David M Powell, Philip C Guzzetta

  • 1Division of Pediatric Surgery, Joseph E. Robert Center for Surgical Care, Children's National Medical Center, Washington, DC, USA.

Insights

Blunt abdominal trauma rarely causes aortic injury in children. This case report details the successful diagnosis and management of a two-year-old boy with a ruptured aorta following blunt force trauma.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Vascular Injury

Background:

  • Aortic injuries secondary to blunt abdominal trauma are exceedingly rare in pediatric populations.
  • Literature documents only a handful of pediatric cases over the last four decades.

Observation:

  • A 2-year-old boy sustained severe blunt abdominal trauma.
  • The patient presented with a rupture at the aortic bifurcation, a critical vascular structure.

Findings:

  • The case highlights the successful diagnosis of aortic bifurcation rupture in a young child.
  • Effective management strategies were employed, leading to the patient's survival.

Implications:

  • This case expands the understanding of pediatric blunt abdominal trauma complications.
  • It underscores the importance of considering rare but life-threatening vascular injuries in pediatric trauma evaluations.
  • The successful outcome suggests potential for improved management protocols in similar pediatric cases.

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