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Aortic Transection after Blunt Abdominal Trauma in a Child
Shivik Patel1, Claudie McArthur Sheahan1, Danielle D Fontenot2
1Louisiana State University Health Sciences Center, New Orleans, LA.
Annals of Vascular Surgery
|February 9, 2020
Summary
Blunt abdominal aortic injury (BAAI) is rare in children and often involves other trauma. This case highlights surgical repair with graft interposition for aortic transection and associated injuries in a young patient.
Area of Science:
- Trauma surgery
- Pediatric surgery
- Vascular surgery
Background:
- Blunt abdominal aortic injury (BAAI) is a rare but severe consequence of blunt abdominal trauma.
- In pediatric populations, BAAI is infrequently documented and often occurs alongside other significant injuries.
Observation:
- A 14-year-old male sustained a partial infrarenal aortic transection, lumbar chance fracture, and small bowel injury following a motor vehicle accident.
- The patient underwent surgical intervention for these complex injuries.
Findings:
- The aortic injury was repaired using Dacron graft interposition.
- Associated small bowel injury necessitated bowel resection.
- Literature review focused on repair methods for pediatric BAAI.
Implications:
- This case underscores the importance of considering BAAI in pediatric blunt trauma patients with associated injuries.
- Successful surgical management involving aortic reconstruction and management of concomitant injuries is feasible.
- Further research into optimal repair strategies for pediatric BAAI is warranted.
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