Sarkar R, Cilley R E, Coran A G
Section of Pediatric Surgery, University of Michigan Medical School, Ann Arbor.
Surgery. 1991 Feb;109(2):143-8.
Abdominal aneurysms are rare in children and are usually found in association with congenital cardiac or aortic malformations, connective tissue disorders, trauma, or previous arterial catheter placement. A 4-year-old girl who had a common iliac artery aneurysm, who had no history of arterial catheter placement or trauma, and who had no evidence of Marfan's or Ehlers-Danlos syndrome, arteritis, coarctation of the aorta, or other diseases associated with childhood aneurysms is presented. Resection of the aneurysm and arterial reconstruction were performed without the use of prosthetic material or vein graft. Pathologic examination showed no evidence of inflammation or medial degeneration in any of the layers of the arterial wall. This is the fourth report found in the literature of documented idiopathic abdominal aneurysm in a child. The conditions associated with abdominal aneurysms in childhood are discussed, and the literature is reviewed.
儿童腹主动脉瘤较为罕见，通常与先天性心脏或主动脉畸形、结缔组织疾病、创伤或既往动脉导管置入有关。本文介绍了一名4岁女孩，她患有髂总动脉瘤，无动脉导管置入或创伤史，也没有马凡氏综合征或埃勒斯-当洛综合征、动脉炎、主动脉缩窄或其他与儿童动脉瘤相关疾病的证据。在未使用人工材料或静脉移植物的情况下进行了动脉瘤切除和动脉重建。病理检查显示动脉壁各层均无炎症或中层退变迹象。这是文献中发现的第四例记录在案的儿童特发性腹主动脉瘤报告。文中讨论了儿童腹主动脉瘤相关情况，并对文献进行了综述。
