Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/jvb.2014.060
Jornal Vascular Brasileiro
Case Report

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

Estudo de caso de trauma abdominal contuso levando à ruptura da bifurcação aórtica em criança

Seleno Glauber de Jesus-Silva; Rodolfo Souza Cardoso; Melissa Andreia de Moraes Silva; Luiz Gonzaga Fernandez Maringolo; Marcelo Mendonça Rodrigues; Fausto Miranda Jr.

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Abstract

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.

Keywords

child, wounds and injuries, multiple trauma, abdominal aorta, abdominal injuries, vascular system injuries

Resumo

A incidência de ruptura aórtica secundária a um trauma abdominal contuso é uma condição extremamente rara e pouco relatada na população pediátrica. Em geral, a maioria dos casos descritos é devida a acidentes automobilísticos. Descrevemos o caso de uma criança de cinco anos de idade, vítima de trauma abdominal contuso de etiologia incomum, a qual foi admitida em sala de emergência em choque hipovolêmico e submetida a laparotomia exploradora, com o reparo de uma laceração da bifurcação aórtica. Serão discutidas as forças mecânicas envolvidas e as opções de tratamento para esse tipo de lesão.

Palavras-chave

criança, ferimentos e lesões, traumatismo múltiplo, aorta abdominal, traumatismos abdominais, traumatismos do sistema vascular

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