Delayed manifestation of abdominal aortic stenosis in a child presenting 10 years after blunt abdominal trauma.
We report the case of a 13-year-old boy who, at 3 years of age, was a rear seat-restrained passenger in a high-speed motor vehicle crash necessitating segmental small-bowel resection. The patient remained well for 10 years; then he began to have exercise-induced fatigue in his lower extremities. Routine physical examination revealed a bruit and thrill in the mid abdomen and diminished femoral pulses. Aortic stenosis was diagnosed and treated surgically. We discuss the pathophysiology of the lesion and review the literature. This is the first report of abdominal aortic stenosis 10 years after blunt abdominal trauma in a child.
Diaz
José A
JA
Department of Pediatric Surgery, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, AR 72202, USA. joseantoniodiaz@hotmail.com
Campbell
Brendan T
BT
Moursi
Mohammed M
MM
Boneti
Cristiano
C
Kokoska
Evan R
ER
Jackson
Richard J
RJ
Smith
Samuel D
SD
D000007:Abdominal Injuries / Q000150:complications* / Q000175:diagnosis; D000293:Adolescent; D017130:Angioplasty / Q000379:methods; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000293:injuries*; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis