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Updated: May 16, 2026
07:12
An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
Published on: September 8, 2023
Blunt abdominal aortic trauma in paediatric patients
Nirvana Sadaghianloo1, Elixène Jean-Baptiste, Jean Breaud
1Université de Nice Sophia Antipolis, France; Service de chirurgie vasculaire, Pôle cardio-vasculaire, thoracique et métabolique du Haut Pasteur, CHU de Nice, France.
Injury
|November 24, 2012
Summary
Blunt abdominal aortic trauma (BAAT) in children is rare but serious. Immediate surgical repair is recommended for symptomatic lesions and complete ruptures to reduce complications.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Vascular Surgery
Background:
- Blunt abdominal aortic trauma (BAAT) is a rare pediatric injury with high morbidity and mortality.
- Limited literature complicates management strategies for pediatric BAAT.
- Clinical presentations of BAAT in children are varied.
Purpose of the Study:
- To analyze management strategies and outcomes for pediatric blunt abdominal aortic trauma.
- To review institutional data and existing literature on pediatric BAAT.
- To establish evidence-based recommendations for managing pediatric BAAT.
Main Methods:
- Retrospective analysis of three pediatric BAAT cases (2006-2010).
- Comprehensive Medline search for relevant publications since 1966.
- Review of references from retrieved publications.
Main Results:
- Forty pediatric patients (1-16 years) with BAAT were analyzed.
- Motor vehicle crashes caused 65% of injuries; in-hospital mortality was 7.5%.
- Complete rupture (12.5%), intimal transection (70%), and pseudoaneurysm (15%) were primary lesions. Surgical repair was performed in 70% of cases.
Conclusions:
- Immediate surgical repair is indicated for symptomatic lesions and complete aortic ruptures.
- Circumferential intimal transections require intervention due to high complication risk.
- Partial intimal transections and pseudoaneurysms may be initially observed, with surgery indicated upon deterioration.
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