Pseudoaneurysm rupture after liver injury in a 14-year-old boy.
Today, haemodynamically stable children with blunt liver trauma are treated conservatively and can be discharged from hospital within one week. We report on a 14-year-old boy with a blunt hepatic trauma grade III, who showed a pseudoaneurysm with active bleeding into the abdominal cavity after mobilisation on day 9. Supraselective angiography of the right hepatic artery was performed and 2 titanium coils and gelatine sponge particles were placed for embolisation. In view of this complication, we suggest carrying out colour Doppler sonographic imaging to rule out pseudoaneurysm in children with blunt hepatic trauma before they are discharged from hospital.
Hacker
H W
HW
Department of Pediatric Surgery, Kinderspital Lucerne, Lucerne, Switzerland. hanswalter.hacker@ksl.ch
Schwöbel
M G
MG
Allgayer
B
B
D000293:Adolescent; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000628:therapy; D000792:Angiography / Q000379:methods; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D005781:Gelatin Sponge, Absorbable; D006499:Hepatic Artery / Q000000981:diagnostic imaging*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*