Spontaneous rupture of a posttraumatic aneurysm of the axillary artery-a rare cause of hemorrhagic shock in children.
Posttraumatic aneurysms of the axillary artery are extremely scarce. In pediatrics, no similar case has been described. Injuries of axillary artery are often associated with ischemic complications, whereas the bleeding risks are not well documented. We report the case of a 5-year-old boy who was admitted with a scapular pulsatile lump 2 weeks after a domestic accident. During his stay, he suddenly presented a hemorrhagic shock. The patient was immediately admitted to the operating room to undergo surgical hemostasis and was then transferred to intensive care unit to stabilize his vital functions. This case shows the possibility of spontaneous and life-threatening acute bleeding of posttraumatic aneurysms of the axillary artery.
Pediatric ICU, Children Hospital, Rabat, Morocco.
Nabil
N
Saad
School of Medicine, Mohamed V University, Rabat, Morocco.
Aziza
A
Bentalha
Pediatric ICU, Children Hospital, Rabat, Morocco.
Abdellatif
A
Thar
School of Medicine, Mohamed V University, Rabat, Morocco.
Mohammed Younes
MY
Benjelloun
Pediatric ICU, Children Hospital, Rabat, Morocco; Pediatric General Surgery Department, Children Hospital, Rabat, Morocco.
Rachid
R
Oulahyane
Pediatric ICU, Children Hospital, Rabat, Morocco; School of Medicine, Mohamed V University, Rabat, Morocco.
Ahlam
A
Mossadik
Pediatric ICU, Children Hospital, Rabat, Morocco; School of Medicine, Mohamed V University, Rabat, Morocco. Electronic address: dr_alae@hotmail.com.
Alae
A
El Koraichi
Pediatric ICU, Children Hospital, Rabat, Morocco; School of Medicine, Mohamed V University, Rabat, Morocco.
Salma
S
El Kettani
D000058:Accidental Falls; D000714:Anastomosis, Surgical; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D001365:Axilla / Q000098:blood supply* / Q000293:injuries*; D001803:Blood Transfusion; D002675:Child, Preschool; D003952:Diagnostic Imaging; D006439:Hemodynamics; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D012771:Shock, Hemorrhagic / Q000209:etiology*