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Zhu RC, Kurbatov V, Leung P, et al. A rare case of splenic pseudoaneurysm in pediatric splenic blunt trauma patient: Review of diagnosis and management. Int J Surg Case Rep. 2015;13:64-8doi: 10.1016/j.ijscr.2015.06.014.
Zhu, R. C., Kurbatov, V., Leung, P., Sugiyama, G., & Roudnitsky, V. (2015). A rare case of splenic pseudoaneurysm in pediatric splenic blunt trauma patient: Review of diagnosis and management. International journal of surgery case reports, 1364-8. https://doi.org/10.1016/j.ijscr.2015.06.014
Zhu, Roger Chen, et al. "A rare case of splenic pseudoaneurysm in pediatric splenic blunt trauma patient: Review of diagnosis and management." International journal of surgery case reports vol. 13 (2015): 64-8. doi: https://doi.org/10.1016/j.ijscr.2015.06.014
Zhu RC, Kurbatov V, Leung P, Sugiyama G, Roudnitsky V. A rare case of splenic pseudoaneurysm in pediatric splenic blunt trauma patient: Review of diagnosis and management. Int J Surg Case Rep. 2015;13:64-8. doi: 10.1016/j.ijscr.2015.06.014. Epub 2015 Jun 19. PMID: 26117449; PMCID: PMC4529651.
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Int J Surg Case Rep. 2015;13:64-8. doi: 10.1016/j.ijscr.2015.06.014. Epub 2015 Jun 19.

A rare case of splenic pseudoaneurysm in pediatric splenic blunt trauma patient: Review of diagnosis and management.

International journal of surgery case reports

Roger Chen Zhu, Vadim Kurbatov, Patricia Leung, Gainosuke Sugiyama, Valery Roudnitsky

Affiliations

  1. SUNY Downstate, College of Medicine, 450 Clarkson Ave, Brooklyn, NY 11203, United States. Electronic address: [email protected].
  2. SUNY Downstate, College of Medicine, 450 Clarkson Ave, Brooklyn, NY 11203, United States.
  3. Department of Surgery, Kings County Hospital Center, 451 Clarkson Ave, Brooklyn, NY 11203, United States; SUNY Downstate, College of Medicine, 450 Clarkson Ave, Brooklyn, NY 11203, United States.

PMID: 26117449 PMCID: PMC4529651 DOI: 10.1016/j.ijscr.2015.06.014

Abstract

INTRODUCTION: Splenic pseudoaneurysms (SPA) are a rare but serious sequela of blunt traumatic injury to the spleen. Management of adult blunt splenic trauma is well-studied, however, in children, the management is much less well-defined.

PRESENTATION OF CASE: A 15 year-old male presented with severe abdominal pain of acute onset after sustaining injury to his left side while playing football. FAST was positive for free fluid in the abdomen. Initial abdomen CT demonstrated a grade III/IV left splenic laceration with moderate to large hemoperitoneum with no active extravasation or injury to the splenic vessels noted. A follow-up CT angiography of the abdomen demonstrated a splenic hypervascular structure suspicious for a small pseudoaneurysm. Splenic arteriogram which demonstrated multiple pseudoaneurysms arising from the second order splenic artery branches which was angioembolized and treated.

DISCUSSION & CONCLUSION: Questions still remain regarding the timing of repeat imaging for diagnosis of SPA following non-operative blunt splenic trauma, which patients should be imaged, and how to manage SPA upon diagnosis. More clinical study and basic science research is warranted to study the disease process of SPA in pediatric patient. We believe that our proposed management algorithm timely detect formation of delayed SPA formation and addresses the possible fatal disease course of pediatric SPA.

Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Paediatric trauma; Splenic laceration; Splenic pseudoaneurysm; Splenic trauma

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