title: Endovascular management of lap belt-related abdominal aortic injury in a 9-year-old child.
abstract: Blunt abdominal aortic trauma is a rare occurrence in children with only a few patients having been reported in the literature. Most such cases have been described in the context of lap belt injuries. We report a 9-year-old boy who suffered lap belt trauma to the abdomen during a high-speed road traffic accident resulting to the well-recognized pattern of blunt abdominal injury, that is, the triad of intestinal perforation, fractures of the lumbar spine, and abdominal aortic injury. The latter presented with lower limb ischemia due to dissection of the infrarenal aorta and right common iliac artery. Revascularization was achieved by endovascular means using 2 self-expanding stents in the infrarenal aorta and the right common iliac artery. This case is one of the few reports of lap belt-related acute traumatic abdominal aortic dissection in a young child and highlights the feasibility of endovascular management in the pediatric population.
authors.affiliation: 5th Department of Surgery, Medical School, Aristotle University of Thessaloniki, Hippocratio Hospital, Thessaloniki, Greece.
authors.forename: Konstantinos O
authors.initials: KO
authors.lastname: Papazoglou
authors.affiliation: 5th Department of Surgery, Medical School, Aristotle University of Thessaloniki, Hippocratio Hospital, Thessaloniki, Greece. Electronic address: ckarkos@hotmail.com.
authors.forename: Christos D
authors.initials: CD
authors.lastname: Karkos
authors.affiliation: 5th Department of Surgery, Medical School, Aristotle University of Thessaloniki, Hippocratio Hospital, Thessaloniki, Greece.
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Kalogirou
authors.affiliation: 5th Department of Surgery, Medical School, Aristotle University of Thessaloniki, Hippocratio Hospital, Thessaloniki, Greece.
authors.forename: Ioakeim T
authors.initials: IT
authors.lastname: Giagtzidis
mesh_terms: D000007:Abdominal Injuries / Q000209:etiology; D000063:Accidents, Traffic; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D001012:Aorta, Abdominal / Q000293:injuries / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D002648:Child; D057510:Endovascular Procedures; D006801:Humans; D017543:Iliac Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology; D008159:Lumbar Vertebrae; D008297:Male; D009104:Multiple Trauma / Q000209:etiology; D010264:Paraplegia / Q000209:etiology; D012622:Seat Belts / Q000009:adverse effects*; D016103:Spinal Fractures / Q000209:etiology; D015607:Stents; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000601:surgery