Pseudoaneurysm after penetrating trauma in children and adolescents

Background: Although skin lacerations are common in children and adolescents, the complication of pseudoaneurysm (PA) has rarely been reported. Methods: The author reports a series of four cases of patients in whom PA developed after lacerations. The diagnosis was made on the basis of the history an...

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Bibliographic Details
Published in:Journal of pediatric surgery 1998-10, Vol.33 (10), p.1574-1577
Main Author: Zitsman, Jeffrey L
Format: Article
Language:English
Subjects:
Adolescent
Aneurysm, False - etiology
Arteries - injuries
Biological and medical sciences
Child
Humans
Injuries of the skin. Diseases of the skin due to physical agents
Male
Medical sciences
Radial Artery - injuries
Temporal Arteries - injuries
Tibial Arteries - injuries
Traumas. Diseases due to physical agents
Wounds, Penetrating - complications
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Summary:Background: Although skin lacerations are common in children and adolescents, the complication of pseudoaneurysm (PA) has rarely been reported. Methods: The author reports a series of four cases of patients in whom PA developed after lacerations. The diagnosis was made on the basis of the history and clinical findings in all cases. Doppler ultrasound confirmed the diagnosis in two cases. Resection of the aneurysm was the treatment in each. Results: Each of the patients had successful removal of his lesion. One patient with a radial artery PA underwent resection without reconstruction; he remains free of claudication and has symmetrical upper extremities. Conclusions: Pseudoaneurysms are uncommon sequella of lacerations. In children, resection is satisfactory treatment when adequate collateral flow can be demonstrated.
ISSN:0022-3468
1531-5037
DOI:10.1016/S0022-3468(98)90504-8