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Prophylactic embolization of hepatic artery pseudoaneurysm after blunt abdominal trauma in a child
Authors:Ivan Khoo Yi  Janice Wong  Richard H.G. Lo  Low Yee  Anette Jacobsen Sundfor
Affiliation:a Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore
b Department of Pediatric Surgery, KK Women's and Children's Hospital, Singapore 229899, Singapore
c Department of Diagnostic and Interventional Imaging, KK Women's and Children's Hospital, Singapore 229899, Singapore
d Cardiovascular & Interventional Radiology, Ultrasonography, Department of Diagnostic Radiology, Singapore General Hospital, Singapore 169608, Singapore
Abstract:We describe a 10-year-old boy who developed a pseudoaneurysm in the territory of the left hepatic artery after blunt trauma to the abdomen, which was prophylactically embolized. He was discharged early and was able to return to activities of daily life. In view of the potentially fatal complication of severe hemorrhage from a missed hepatic pseudoaneurysm rupture, recognition and early embolization of a traumatic pseudoaneurysm of hepatic artery are recommended. This decreases morbidity, mortality, and length of hospital stay and allows for early mobilization especially in children who are difficult to restrain in bed.
Keywords:Hepatic artery pseudoaneurysm   Blunt liver injuries   Blunt abdominal trauma   Prophylactic embolization
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