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Tuberculous iliac artery aneurysm in a pediatric patient

Sharon Gail Cox1, Nadraj G Naidoo, Richard John Wood

  • 1Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa. Sharon.cox@uct.ac.za

Journal of Vascular Surgery
|December 26, 2012
PubMed

Insights

Tuberculosis can rarely cause vascular issues like pseudoaneurysms in children. This case highlights a tuberculous right common iliac artery pseudoaneurysm in a 12-year-old, emphasizing rare pediatric vascular complications.

Area of Science:

  • Vascular Surgery
  • Pediatric Infectious Diseases
  • Radiology

Background:

  • Vascular complications from tuberculosis are uncommon, particularly in pediatric cases.
  • Tuberculous pseudoaneurysms arise from direct spread or hematogenous seeding of Mycobacterium tuberculosis.
  • The vasa vasorum are implicated in the pathogen's access to arterial walls.

Observation:

  • A rare case of tuberculous pseudoaneurysm affecting the right common iliac artery is presented.
  • The patient was a 12-year-old child.
  • This presentation is unusual within the pediatric demographic.

Findings:

  • The pseudoaneurysm was attributed to tuberculous infection.
  • The case involved the right common iliac artery, a major vessel.
  • Literature review was conducted to contextualize this rare occurrence.

Implications:

  • This case expands the understanding of rare pediatric vascular manifestations of tuberculosis.
  • Highlights the importance of considering tuberculous etiology in pediatric arterial pseudoaneurysms.
  • Suggests the need for awareness among clinicians regarding unusual presentations of tuberculosis in children.

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