[Rare injury from blunt abdominal trauma in a child].
Presented in this work is a rare injury of a blunt abdominal trauma in a child. Besides a partial rupture of the kidney and a retro-/intraperitoneal haematoma, a further injury occurred from the accident: an initially clinically indetectable tear of the A. iliaca communis which was found intraoperatively and with systematic CT analysis. Traumatic blood vessel lesions of the abdominal aorta and in particular the iliac blood vessels are very rare in children. By such violent impact injuries, it is therefore vital to perform a clinical examination of the foot pulse, systematic analysis of radiology diagnostics, and intraoperative exploration. The growth phase should be considered for therapy of the blood vessels depending on the child's age group. As the long-term results of graft implants are practically unknown, if possible a primary suture or vein patch should be performed.
Schwertfeger
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U
Chirurgische Klinik, Spital Oberengadin, Samedan, Schweiz. Schwertfeger.Urs@spital.net
Siewert
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C
Simmen
H P
HP
D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D002432:Cecum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D002648:Child; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D007668:Kidney / Q000293:injuries*; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D012421:Rupture; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*