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[Post-traumatic intrasplenic arteriovenous fistula in a child. Spontaneous regression]
1Service de Chirurgie pédiatrique, Centre de la Mère et de l'Enfant, Colmar.
Journal De Radiologie
|October 3, 1998
Insights
An 11-year-old boy experienced a splenic arteriovenous fistula after blunt abdominal trauma. The condition resolved spontaneously within eight months, showing no complications.
Area of Science:
- Vascular Surgery
- Pediatric Surgery
- Trauma Surgery
Background:
- Blunt abdominal trauma can lead to vascular injuries.
- Splenic arteriovenous fistulas are rare but serious complications.
Observation:
- An 11-year-old male presented with a splenic arteriovenous fistula post-trauma.
- The patient had no prior medical history of vascular abnormalities.
Findings:
- The splenic arteriovenous fistula resolved spontaneously over an 8-month period.
- No surgical or endovascular intervention was required.
- The patient remained asymptomatic throughout the follow-up.
Implications:
- Conservative management may be a viable option for select cases of traumatic splenic arteriovenous fistulas.
- Spontaneous resolution highlights the potential for self-healing vascular lesions.
- Further research is needed to identify predictors for spontaneous closure in pediatric trauma patients.
Abstract:
We report on an 11-year-old boy who developed splenic arteriovenous fistula resulting from blunt abdominal trauma. This fistula disappeared spontaneously after 8 months of follow-up without any complication.