Multiple posttraumatic pseudoaneurisms of the spleen in a 13-year old child

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详细

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.

作者简介

O. 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

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O. Yanyushkina

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

编辑信件的主要联系方式.
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

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T. Akhadov

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru
ORCID iD: 0000-0002-3235-8854

119180, Moscow

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I. Melnikov

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru

119180, Moscow

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M. Akhlebinina

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru
ORCID iD: 0000-0001-9862-3609

119180, Moscow

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I. Batunina

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru

119180, Moscow

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A. Gorelik

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru
ORCID iD: 0000-0003-1746-8446

119180, Moscow

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A. Timofeeva

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru
ORCID iD: 0000-0002-6940-4535

119180, Moscow

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D. Golikov

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru
ORCID iD: 0000-0001-5982-5494

119180, Moscow

俄罗斯联邦

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