Reparo de aneurisma de artéria ilíaca roto em criança

Hoshiko, Fernando Massaru; Zampieri, Elisa Helena Subtil; Dalio, Marcelo Bellini; Dezotti, Nei Rodrigues Alves; Joviliano, Edwaldo Edner

doi:10.1590/1677-5449.008616

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Aneurysms in the pediatric population are very rare. Moreover, there are just a few case reports regarding iliac aneurysms 1, 2, 3, 4, 5, 6, 7, 8. Based on autopsy series in adults, the incidence of isolated iliac artery aneurysms is approximately 0.03% 9 .…”

Section: Discussionmentioning

confidence: 99%

Neonatal idiopathic aneurysm of the common iliac artery

Krysiak

Żyłkowski

Jaworski

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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Arterial aneurysms are very rare in children, with iliac aneurysms being even more uncommon. We report the case of a 61-day-old girl with a right common iliac artery aneurysm that was an incidental finding on the third day of life. The aneurysm was treated by direct aneurysm puncture and endovascular coil embolization. The patient was discharged with no complications, and complete exclusion of the aneurysm was confirmed on the 3-month follow-up examination.

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Section: Discussionmentioning

confidence: 99%

Neonatal idiopathic aneurysm of the common iliac artery

Krysiak

Żyłkowski

Jaworski

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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show abstract

“… 3 Treatment is challenging in the pediatric population because of the smaller size of anatomic structures, the patient’s growth, and the long life expectancy. 4 …”

Section: Introductionmentioning

confidence: 99%

“…Quando diagnosticados, os aneurismas de artéria ilíaca devem ser prontamente abordados devido ao alto risco de rotura, trombose ou embolização distal 3 . O tamanho reduzido das estruturas anatômicas na população pediátrica, o crescimento do paciente e a longa expectativa de vida tornam o tratamento desafiador 4 .…”

Section: Introductionunclassified

Aneurisma idiopático de artéria ilíaca comum direita em criança de três anos - relato de caso

Falqueto¹,

Martins

Saito

et al. 2021

J. vasc. bras.

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Resumo A incidência de aneurismas ilíacos em crianças não é conhecida, havendo apenas alguns relatos de casos na literatura sobre o tema. Neste estudo, é relatado o caso de um paciente masculino, 3 anos, com aneurisma sacular isolado na bifurcação da artéria ilíaca comum direita de origem idiopática, que foi submetido a ressecção, ligadura da artéria ilíaca interna e anastomose vascular término-terminal. Após 1 mês de seguimento, foi diagnosticada oclusão assintomática da anastomose. Devido à presença de circulação colateral, não houve repercussões clínicas da oclusão, e a criança apresentou evolução clínica favorável a médio prazo.

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Misinterpretation of a giant idiopathic concealed right iliac artery aneurysm as infantile pelvic tumor imaged by non-angiographic computed tomography: a case report

Tangsiwong

Tangsriwong

2023

Ann Pediatr Surg

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Background Idiopathic pediatric artery aneurysm is extremely rare and sometimes behaves like a pelvic neoplasm. As it is associated with a high mortality while ruptured, the accurate diagnosis is indispensable to avoid life-threatening complications. Angiographic imaging is the gold standard for diagnosis and treatment planning of the aneurysm. Due to the considerably higher radiation sensitivity of children, single portal venous-phase scanning of the abdominopelvic computed tomography (CT) is, however, reasonably utilized for the evaluation of a clinically palpable mass; the erroneous diagnosis of such aneurysm can be feasible. Case presentation A giant idiopathic concealed right iliac artery aneurysm in a 47-day-old girl presented with a palpable pelvic mass regardless of unidentifiable predisposing factors. Non-angiographic abdominopelvic CT was reappraised by the radiology consultant according to discordance between the mass characteristics on initial CT report and those on second-look sonography, revealing the concealed aneurysm instead of solid neoplasm as it originated from right internal iliac artery. The patient underwent an emergency laparotomy with successful proximal ligation of right internal iliac artery despite intraoperative aneurysmal rupture. Conclusions Typical CT features for the infantile iliac artery aneurysms may be overlooked, especially if the angiographic phase is omitted; thus, the imaging characteristics of the aneurysms are more difficult to appreciate and can mimic a pelvic neoplasm. Therefore, the identification of the origin of the mass should be more practical to achieve the precise diagnosis.

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Reparo de aneurisma de artéria ilíaca roto em criança

Cited by 3 publications

References 6 publications

Neonatal idiopathic aneurysm of the common iliac artery

Neonatal idiopathic aneurysm of the common iliac artery

Aneurisma idiopático de artéria ilíaca comum direita em criança de três anos - relato de caso

Misinterpretation of a giant idiopathic concealed right iliac artery aneurysm as infantile pelvic tumor imaged by non-angiographic computed tomography: a case report

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