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Hepatic artery aneurysm in a child
A Navarro Gómez1, C Garcia Lorenzo, A Ruiz Orpez
1Pediatric Surgical Service, Hospital Materno-Infantil de Malaga, Spain.
Insights
Hepatic artery aneurysms in children can be effectively treated with proximal ligation. This simple surgical technique leads to symptom resolution and normal development, offering a preferred alternative to direct vascular repair.
Area of Science:
- Pediatric Surgery
- Vascular Surgery
- Medical Case Reports
Background:
- Hepatic artery aneurysms are rare vascular anomalies in children.
- Nonspecific symptoms can delay diagnosis.
- Treatment options for pediatric hepatic artery aneurysms require careful consideration.
Observation:
- A child presented with nonspecific symptoms and was diagnosed with bilateral hepatic artery aneurysms.
- The child underwent a simple proximal ligature of both hepatic arteries.
- Post-procedure follow-up revealed the child remained symptom-free.
Findings:
- Simple proximal ligature of hepatic arteries is a successful treatment for pediatric aneurysms.
- The child demonstrated normal development and remained asymptomatic one year after surgery.
- This technique avoids direct intervention on the fragile vascular pathology.
Implications:
- Proximal ligation offers a safe and effective minimally invasive approach for pediatric hepatic artery aneurysms.
- This method may reduce the risks associated with direct surgical repair in children.
- Further studies could explore the long-term outcomes of this ligation technique in pediatric vascular surgery.
Abstract:
The present report refers to a child hospitalized because of nonspecific symptomatology, who was found to have aneurysms of both hepatic arteries. A year after simple proximal ligature of both hepatic arteries, the child remains symptom-free and developing normally. Proximal ligation appears to be a simple and effective technique for treating hepatic artery aneurysm in children in preference to direct approach of the vascular pathology.