We describe a 10-year-old boy who developed a pseudoaneurysm in the territory of the left hepatic artery after blunt trauma to the abdomen, which was prophylactically embolized. He was discharged early and was able to return to activities of daily life. In view of the potentially fatal complication of severe hemorrhage from a missed hepatic pseudoaneurysm rupture, recognition and early embolization of a traumatic pseudoaneurysm of hepatic artery are recommended. This decreases morbidity, mortality, and length of hospital stay and allows for early mobilization especially in children who are difficult to restrain in bed.
Ivan Khoo Yi, Fiona Lim Pin Miao, Janice Wong, K L Narasimhan, Richard H G Lo, Low Yee, David Alexander Stringer, and Anette Jacobsen Sundfor.
Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore.
J. Pediatr. Surg. 2010 Apr 1;45(4):837-9.
AbstractWe describe a 10-year-old boy who developed a pseudoaneurysm in the territory of the left hepatic artery after blunt trauma to the abdomen, which was prophylactically embolized. He was discharged early and was able to return to activities of daily life. In view of the potentially fatal complication of severe hemorrhage from a missed hepatic pseudoaneurysm rupture, recognition and early embolization of a traumatic pseudoaneurysm of hepatic artery are recommended. This decreases morbidity, mortality, and length of hospital stay and allows for early mobilization especially in children who are difficult to restrain in bed.Copyright 2010 Elsevier Inc. All rights reserved.