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Blunt abdominal aortic trauma in children: case report
A Amin1, J B Alexander, K F O'Malley
1Department of Surgery, Cooper Hospital/University Medical Center, Camden, New Jersey.
The Journal of Trauma
|February 1, 1993
Summary
Blunt abdominal aortic trauma in children is rare, with only eight cases reported. Early diagnosis via aortography is crucial for managing this severe injury.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Vascular Surgery
Background:
- Blunt abdominal aortic injuries are exceptionally rare in pediatric populations.
- Literature review identified only seven prior cases, with the current study adding an eighth.
- Understanding the presentation is key for timely intervention.
Observation:
- Initial signs may include lower extremity ischemia, abdominal bruit, or paraplegia.
- Delayed symptoms can manifest as abdominal pain or a pulsatile abdominal mass.
- A high index of suspicion is necessary for prompt diagnosis.
Findings:
- Eight pediatric cases of blunt abdominal aortic injury were identified.
- Clinical presentations vary, with both acute and delayed signs reported.
- Aortography is essential for definitive diagnosis.
Implications:
- Early recognition and diagnosis of blunt aortic trauma in children are critical.
- Prompt aortography can facilitate timely management of these rare injuries.
- This review highlights the importance of considering aortic injury in pediatric trauma patients.