San Vicente B, Castañón M, Mulet J, Morales L
Servicio de Cirugía Pediátrica, Unidad Integrada Hospital Sant Joan de Déu-Clínic, Universidad de Barcelona, Barcelona.
Cir Pediatr. 2000 Apr;13(2):84-6.
Aneurysms are uncommon in the pediatric age-group. Unlike adults, in which aneurysms appear after alteration of the arterial wall due to systemic diseases, in children the traumatic etiology has to be considered: blunt trauma may disrupt the arterial wall and cause false aneurysm (pseudoaneurysm). Most aneurysms are asymptomatic, or they present as a pulsatile mass on an arterial traject. Diagnosis is confirmed with Doppler ultrasound and angiography. We present the case of a girl who, after blunt trauma of the right upper limb developed a pulsatile mass on the traject of the right humeral artery. Doppler ultrasound and angiography confirmed aneurysm of the humeral artery. She was successfully treated with surgical resection of the aneurysm and reconstruction of the arterial wall.
动脉瘤在儿童年龄组中并不常见。与成人不同，成人的动脉瘤是由于全身性疾病导致动脉壁改变后出现的，而在儿童中必须考虑创伤性病因：钝性创伤可能会破坏动脉壁并导致假性动脉瘤（假动脉瘤）。大多数动脉瘤是无症状的，或者表现为动脉走行上的搏动性肿块。通过多普勒超声和血管造影来确诊。我们报告一例女童病例，其右上肢钝性创伤后，在右肱动脉走行处出现一个搏动性肿块。多普勒超声和血管造影证实为肱动脉瘤。她通过动脉瘤手术切除和动脉壁重建得到了成功治疗。
