title: [Pediatric post-traumatic limb pseudoaneurysm: Case report and literature review].
abstract: BACKGROUND
  Pediatric post-traumatic pseudoaneurysms are a rare complication of arterial limb injuries. Management modalities in children are poorly defined. We report on a case of post-traumatic pseudoaneurysm of the right anterior tibial artery after minimal penetrating trauma, treated with surgery.
  
  
  METHODS
  A 14-year-old boy presented in consultation with a limp and right calf pain 3 months after a penetrating trauma. On physical examination, a painful mass in the middle third of the right leg was found, without inflammatory signs, but with a pulsatile character and a palpable thrill. Ultrasonography revealed a hypoechoic cystic structure, adjacent to the anterior tibial artery with a characteristic ying-yang flow on color Doppler, suggesting a post-traumatic pseudoaneurysm. The diagnosis was confirmed by CT angiography. The treatment was surgical, including flattening of the pseudoaneurysm and interposition of an autologous graft.
  
  
  CONCLUSIONS
  Management of pediatric post-traumatic pseudoaneurysm of the limbs is surgical. Currently however, new alternatives exist: endovascular techniques, ultrasound-guided compression, and embolization by thrombin injection.
authors.affiliation: Service de chirurgie vasculaire périphérique, centre hospitalier Mohammed VI, Oujda université, BP 4806, 60049 Oujda, Maroc. Electronic address: dr.alion.med@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Ouled Taib
authors.affiliation: Service de chirurgie vasculaire périphérique, centre hospitalier Mohammed VI, Oujda université, BP 4806, 60049 Oujda, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Rezziki
authors.affiliation: Service de chirurgie vasculaire périphérique, centre hospitalier Mohammed VI, Oujda université, BP 4806, 60049 Oujda, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Boutaouer
authors.affiliation: Service de chirurgie vasculaire périphérique, centre hospitalier Mohammed VI, Oujda université, BP 4806, 60049 Oujda, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Benzirar
authors.affiliation: Service de chirurgie vasculaire périphérique, centre hospitalier Mohammed VI, Oujda université, BP 4806, 60049 Oujda, Maroc.
authors.forename: O
authors.initials: O
authors.lastname: El Mahi
mesh_terms: D000293:Adolescent; D017541:Aneurysm, False / Q000209:etiology*; D006801:Humans; D007869:Leg Injuries / Q000150:complications*; D008297:Male; D016909:Tibial Arteries / Q000293:injuries*; D014950:Wounds, Penetrating / Q000150:complications*