Pediatric Pseudoaneurysm of the Iliac Artery Following a Mini-Laparoscopic Surgery: A Case Report

Pediatric pseudoaneurysm of the iliac artery is extremely uncommon. In many cases, pseudoaneurysms may be caused by trauma, infection, or arterial catheterization. We report a rare case of an iliac artery pseudoaneurysm in a 3-year-old boy following a mini-laparoscopic surgery for the treatment of hydrocele. Which is the first reported case of pediatric laparoscopic-related iliac artery injury; moreover, he was successfully cured by conservative treatment. The patient presented with mild pain in the abdomen. The hemodynamic was stable. Ultrasound and contrast-enhanced computed tomography confirmed an iliac artery pseudoaneurysm with partial thrombus. With daily ultrasound monitoring and intermittent compression, the child was successfully treated without any surgery. This case revealed iliac artery injury might happen during mini-laparoscopic surgery. If symptoms were mild or emergency operation could be performed at any time, daily ultrasound monitoring and intermittent compression methods could be carried out on a pediatric iliac artery pseudoaneurysm patient.