• A Ouled Taib, A Rezziki, A Boutaouer, A Benzirar, and O El Mahi.
• Service de chirurgie vasculaire périphérique, centre hospitalier Mohammed VI, Oujda université, BP 4806, 60049 Oujda, Maroc. Electronic address: dr.alion.med@gmail.com.
• Arch Pediatr. 2015 Jul 1; 22 (7): 733-6.

IntroductionPediatric post-traumatic pseudoaneurysms are a rare complication of arterial limb injuries. Management modalities in children are poorly defined. We report on a case of post-traumatic pseudoaneurysm of the right anterior tibial artery after minimal penetrating trauma, treated with surgery.Case ReportA 14-year-old boy presented in consultation with a limp and right calf pain 3 months after a penetrating trauma. On physical examination, a painful mass in the middle third of the right leg was found, without inflammatory signs, but with a pulsatile character and a palpable thrill. Ultrasonography revealed a hypoechoic cystic structure, adjacent to the anterior tibial artery with a characteristic ying-yang flow on color Doppler, suggesting a post-traumatic pseudoaneurysm. The diagnosis was confirmed by CT angiography. The treatment was surgical, including flattening of the pseudoaneurysm and interposition of an autologous graft.ConclusionManagement of pediatric post-traumatic pseudoaneurysm of the limbs is surgical. Currently however, new alternatives exist: endovascular techniques, ultrasound-guided compression, and embolization by thrombin injection.Copyright © 2015 Elsevier Masson SAS. All rights reserved.

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