A case study involving a blunt abdominal trauma leading to disruption of the aortic bifurcation in an infant

The incidence of aortic disruption secondary to blunt abdominal trauma is rarely reported in the pediatric population. In general, most of the cases described are the result of motor vehicle accidents. We report on the treatment and outcomes of a 5-year-old child with aortic bifurcation disruption secondary to an unusual case of blunt abdominal trauma who was admitted to the emergency room in hypovolemic shock and subjected to immediate exploratory laparotomy and vascular repair. The mechanical forces involved in aortic disruption and the management options for repair and treatment of this injury will be discussed.

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Bibliographic Details
Main Authors: Jesus-Silva,Seleno Glauber de, Cardoso,Rodolfo Souza, Silva,Melissa Andreia de Moraes, Maringolo,Luiz Gonzaga Fernandez, Rodrigues,Marcelo Mendonça, Miranda Jr.,Fausto
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492014000200142
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Description
Summary:The incidence of aortic disruption secondary to blunt abdominal trauma is rarely reported in the pediatric population. In general, most of the cases described are the result of motor vehicle accidents. We report on the treatment and outcomes of a 5-year-old child with aortic bifurcation disruption secondary to an unusual case of blunt abdominal trauma who was admitted to the emergency room in hypovolemic shock and subjected to immediate exploratory laparotomy and vascular repair. The mechanical forces involved in aortic disruption and the management options for repair and treatment of this injury will be discussed.