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Delayed rupture of the abdominal aorta in a child after a suspected handlebar injury
T F Tracy1, M L Silen, M A Graham
1Department of Surgery, St. Louis University Health Sciences Center, Missouri, USA.
Insights
Blunt abdominal trauma causing aortic lacerations is rare, especially in children. This case highlights the youngest patient to succumb to this severe injury following blunt abdominal trauma.
Area of Science:
- Trauma surgery
- Vascular surgery
- Pediatric surgery
Background:
- Blunt abdominal trauma leading to aortic laceration is an exceedingly rare injury.
- Previous literature documents only one pediatric case of this specific injury.
Observation:
- A 13-year-old boy sustained blunt abdominal trauma.
- The patient experienced a delayed rupture of a third aortic laceration.
Findings:
- This case represents the youngest patient to die from blunt aortic injury.
- The clinical course involved surgical management of infrarenal aortic disruption.
Implications:
- This case underscores the potential for delayed rupture and catastrophic outcomes in pediatric blunt aortic injuries.
- Highlights the need for heightened awareness and potentially novel management strategies for pediatric aortic trauma.
Abstract:
Blunt abdominal trauma resulting in a laceration of the abdominal aorta is extremely rare. Only one previous example of this injury has been reported in a child. We present the clinical course and surgical management of blunt disruption of the infrarenal aorta in a 13-year-old boy with a subsequent delayed rupture of a third aortic laceration. This is the youngest patient to die from this type of injury after blunt abdominal trauma.