Citation

Papazoglou KO, Karkos CD, Kalogirou TE, Giagtzidis IT. Ann. Vasc. Surg. 2014; 29(2): 365.e11-36500000000005.

Affiliation

5(th) Department of Surgery, Medical School, Aristotle University of Thessaloniki, Hippocratio Hospital, Thessaloniki, Greece.

Copyright

(Copyright © 2014, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1016/j.avsg.2014.09.026

PMID

25463338

Abstract

Blunt abdominal aortic trauma is a rare occurrence in children with only a few patients having been reported in the literature. Most such cases have been described in the context of lap belt injuries. We report a 9-year-old boy who suffered lap belt trauma to the abdomen during a high speed road traffic accident resulting to the well-recognized pattern of blunt abdominal injury, i.e. the triad of intestinal perforation, fractures of the lumbar spine and abdominal aortic injury. The latter presented with lower limb ischemia due to dissection of the infrarenal aorta and right common iliac artery. Revascularization was achieved by endovascular means using two self-expanding stents in the infrarenal aorta and the right common iliac artery. This case is one of the few reports of lap belt-related acute traumatic abdominal aortic dissection in a young child and highlights the feasibility of endovascular management in the pediatric population.

Language: en