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Multiple posttraumatic pseudoaneurisms of the spleen in a 13-year old child
- Authors: Karaseva O.V.1,2, Yanyushkina O.G.1, Akhadov T.A.1, Melnikov I.A.1, Akhlebinina M.I.1, Batunina I.V.1, Gorelik A.L.1, Timofeeva A.V.1, Golikov D.E.1
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Affiliations:
- Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
- National Medical Research Center for Children's Health
- Issue: Vol 25, No 6 (2021)
- Pages: 405-410
- Section: CASE REPORT
- URL: https://jps-nmp.ru/jour/article/view/412
- DOI: https://doi.org/10.55308/1560-9510-2021-25-6-405-410
- ID: 412
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Abstract
Introduction. Until now, there is an ongoing controversy regarding the curative strategy in spleen pseudoaneurysms which are detected by CT imaging.
Purpose. To present a diagnostic and curative algorithm for treating spleen injury complicated by multiple pseudoaneurysms in a 13-year-old child.
Observation. A 13-year-old boy was injured in a traffic accident (a cyclist hit by a car) and was admitted to the hospital by an ambulance with brain concussion, abrasions and bruises of soft tissues. On the second day after the injury, the child complained of the pain in the left lumbar region. Multiphase spiral computed tomography (MSCT) revealed damage of the lower pole of the spleen with formation of multiple round hyperdense formations in the arterial phase disappearing in the portal phase. Ultrasound examination revealed multiple hypoechoic zones up to 8 mm in diameter in the lower pole of the spleen, in which blood flow was seen at the color Doppler mapping (CDM). Diagnosis: closed trauma of the spleen, Grade 4 (AAST). Multiple pseudoaneurysms of the lower pole of the spleen. Repeated MSCT on the 6th day after the injury registered disappearance of pseudoaneurysms, like it was at the ultrasound examination. In six months after the injury, there were no complaints; spleen structure at ultrasound examination corresponded to age normal parameters.
Conclusion. The presented clinical observation demonstrates the success of conservative treatment of spleen injury complicated by the formation of multiple pseudoaneurysms.
About the authors
O. V. Karaseva
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma; National Medical Research Center for Children's Health
Email: fake@neicon.ru
ORCID iD: 0000-0001-9418-4418
119180, Moscow
119296, Moscow
O. G. Yanyushkina
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Author for correspondence.
Email: spartak-lfc@mail.ru
ORCID iD: 0000-0002-6227-466X
Olga G. Yanyushkina, MD, researcher at the department of pediatric polytrauma in the Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
119180, Moscow
Russian FederationT. A. Akhadov
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
ORCID iD: 0000-0002-3235-8854
119180, Moscow
Russian FederationI. A. Melnikov
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
119180, Moscow
Russian FederationM. I. Akhlebinina
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
ORCID iD: 0000-0001-9862-3609
119180, Moscow
Russian FederationI. V. Batunina
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
119180, Moscow
Russian FederationA. L. Gorelik
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
ORCID iD: 0000-0003-1746-8446
119180, Moscow
Russian FederationA. V. Timofeeva
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
ORCID iD: 0000-0002-6940-4535
119180, Moscow
Russian FederationD. E. Golikov
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: fake@neicon.ru
ORCID iD: 0000-0001-5982-5494
119180, Moscow
Russian FederationReferences
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