Post-traumatic pseudoaneurysm of the upper extremity in two pediatric patients

Saydam, Funda Aköz; Başaran, Karaca; Pilancı, Özgür; Özel, Asuman

doi:10.2399/emd.13.03511

Cited by 3 publications

(1 citation statement)

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“…Follow up with Dublex US evaluates the anastomotic patency to ensure optimal circulation in the limb, which is during the growth, in the pediatric population [17].…”

Section: Discussionmentioning

confidence: 99%

Dublex Doppler US Diagnosis and Follow Up of a Post Traumatic Pseudoaneurysm of the Radial Artery

2016

IJSR

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Introduction: Post traumatic pseudoaneurysms of the radial artery are rare complications in children. They are seen mostly later; weeks or even months after a penetraiting trauma injury. The serious complications of radial artery pseudoaneurysm, such as spontaneous rupture, ischemia and compartment syndrome emerge early diagnosis and treatment. A high index of suspicion is needed for clinicians to avoid confusion with an abscess or hematoma. Duplex ultrasound is the first method to establish the diagnosis of a pseudoaneurism. It is now widely accepted as the the modality of choice for diagnosis of pseudoaneurism of extremities. Early detection and therapeutic intervention before the pseudoaneurysm manifests clinically with complications is very important. Timely adequate diagnosis and treatment has decrease the morbidity and mortality rates for pseudoaneurysms. As a non invasive method it is now widely used olso as a guided therapeutic option before and instead surgical treatment. Case report: In this article we present a case of a post traumatic pseudoaneurysm in the radial artery of a 12 years old girl diagnosed by dublex ultrasound. The pseudoaneurism was detected 2 weeks after a sharp injury caused by a piece of glass at the medial distal part of the right forearm. The pseudoaneurysm was unfortunately first confused as an abscess in gray scale ultrasound. Follow up dublex US for 2 weeks without treatment revealed thrombosed of the pseudoaneurism continuing with recanalisation of blood flow from radial artery to pseudoaneurism. Conclusion: Imaging with dublex color doppler resolve the diagnosis, otherwise the confusion with an abscess, as in our patient may have the disastrous consequence of incision and drainage. Duplex ultrasound is recommended as an efficiency diagnostic method for forearm and wrist swelling in children after injury. Timely adequate diagnosis and treatment has decrease the morbidity and mortality rates for pseudoaneurysms. This case remind us for careful examination and follow up of the swelling mass after trauma in children. In these cases dublex color Doppler is an imperative investigation to avoid confusion with an abscess or hematoma.

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“…Follow up with Dublex US evaluates the anastomotic patency to ensure optimal circulation in the limb, which is during the growth, in the pediatric population [17].…”

Section: Discussionmentioning

confidence: 99%

Dublex Doppler US Diagnosis and Follow Up of a Post Traumatic Pseudoaneurysm of the Radial Artery

2016

IJSR

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Ultrasonography in the assessment of hand injuries in children: A systematic review

Ma¹,

Taylor²,

Swift³

et al. 2023

Annales de Chirurgie Plastique Esthétique

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A Rare Pediatric Case of Posttraumatic Pseudoaneurysm

Kam²

2019

Pediatr Emer Care

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Posttraumatic pseudoaneurysms are extremely rare in pediatric populations. In many cases, pseudoaneurysms may be confused with abscesses, epidermoid cysts, arteriovenous fistula, foreign objects, and ganglion cysts, as well as tumors. They are associated with distinguishing findings of “pulsatile mass, a palpable thrill, and an audible to-and-fro murmur” (1), which can be confirmed by various imaging techniques. In this report, we describe the case of a 4-year-old boy who presented to the pediatric emergency department 3 weeks after falling and subsequently getting cut by glass. Upon clinical examination, the patient presented with pulsatile, swollen mass in the left wrist. A Doppler ultrasound of the left wrist demonstrated that the area of clinical concern in the left wrist showed a pseudoaneurysm, and prominent arterial blood flow was seen within the pseudoaneurysm. Because pseudoaneurysms, particularly posttraumatic pseudoaneurysms, are extremely rare in the pediatric population, it may be easy to miss these cases during clinical examination. Misdiagnosis of the pseudoaneurysm can cause delayed treatment, a longer recovery period, and complications such as infection, rupture, and hemorrhage. It is important for physicians to consider this entity when evaluating patients with symptoms of asymptomatic bulges to painful pulsatile masses after trauma.

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Post-traumatic pseudoaneurysm of the upper extremity in two pediatric patients

Cited by 3 publications

References 0 publications

Dublex Doppler US Diagnosis and Follow Up of a Post Traumatic Pseudoaneurysm of the Radial Artery

Dublex Doppler US Diagnosis and Follow Up of a Post Traumatic Pseudoaneurysm of the Radial Artery

Ultrasonography in the assessment of hand injuries in children: A systematic review

A Rare Pediatric Case of Posttraumatic Pseudoaneurysm

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