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[Axillary artery pseudo-aneurysm secondary to shoulder dislocation in children]
M Nour1, H Zerhouni, B Bensaid
1Service des urgences chirurgicales pédiatriques, hôpital d'Enfant-Rabat, Rabat, Maroc.
Journal Des Maladies Vasculaires
|September 18, 2013
Summary
A rare pseudo-aneurysm of the axillary artery can occur after shoulder dislocation in children. Close monitoring is crucial for early detection and management of this vascular complication.
Area of Science:
- Pediatric vascular surgery
- Pediatric orthopedics
- Trauma surgery
Background:
- Anterior shoulder dislocation in children is uncommon.
- Vascular injuries, such as axillary artery pseudoaneurysm, are rare but serious complications.
- Iatrogenic injury is often suspected, but spontaneous occurrence is possible.
Observation:
- A 5-year-old boy presented with a pseudo-aneurysm of the axillary artery.
- The condition developed four months after a shoulder dislocation that was managed in an ambulatory setting.
- This highlights a delayed presentation of a rare vascular complication.
Findings:
- The case demonstrates a pseudo-aneurysm of the axillary artery in a pediatric patient.
- The pseudo-aneurysm manifested several months post-dislocation reduction.
- This underscores the potential for delayed vascular complications following shoulder injuries.
Implications:
- Pediatric patients with shoulder dislocations require vigilant short-term and long-term follow-up.
- Early diagnosis of axillary artery pseudo-aneurysm is essential for appropriate management.
- This case emphasizes the importance of considering vascular complications in pediatric shoulder trauma.
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