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Peripheral Vascular Trauma in Pediatrics: A Case Report and Literature Review

Jatnna E Soto1, Dulce M Vásquez1, George Rodríguez1

  • 1Department of Pediatrics, Hospital Infantil Dr. Robert Reid Cabral, Santo Domingo, DOM.

Cureus
|November 15, 2019
PubMed

Insights

This case report details an 11-year-old boy with an isolated radial artery injury, a rare pediatric vascular lesion. Management involved ligation after multiple interventions for bleeding and wound complications.

Area of Science:

  • Vascular Surgery
  • Pediatric Trauma
  • Case Report

Background:

  • Vascular lesions are significant causes of morbidity and mortality.
  • Documentation of vascular lesions in pediatric patients is notably infrequent.
  • Isolated arterial injuries in children are uncommon, posing diagnostic and management challenges.

Observation:

  • An 11-year-old boy presented with active bleeding from a lacerated wound.
  • The patient experienced recurrent hematoma formation and suture dehiscence requiring multiple interventions.
  • A blood transfusion was necessary due to persistent active bleeding.

Findings:

  • The case involved an isolated radial artery injury in a pediatric patient.
  • Vascular exploration revealed the extent of the radial artery lesion.
  • The definitive management strategy employed was ligation of the injured radial artery.

Implications:

  • This case highlights the importance of considering vascular injuries in pediatric trauma, even with seemingly minor wounds.
  • Prompt diagnosis and appropriate surgical management are crucial for favorable outcomes in pediatric vascular trauma.
  • Ligation can be an effective treatment for isolated radial artery injuries in children when limb viability is not compromised.

Keywords:
pediatricsperipheral vascular traumaradial arteryradial artery ligation

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