Rupture of the abdominal aorta as the result of blunt trauma is uncommon, due in part to its protected position in the retroperitoneum. Isolated aortic rupture following blunt injury is even more rare. A case of isolated abdominal aortic rupture in a 6-year-old girl following blunt trauma due to an all-terrain vehicle accident is reported. The girl survived following an emergent aortoiliac reconstruction.
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References
1.
1. Billy LJ, Amato JJ, Rich NM: Aortic injuries in Vietnam. Surgery70:385-391, 1971.
2.
2. Reisman JD, Morgan AS: Analysis of 46 intra-abdominal aortic injuries from blunt trauma: Case reports and literature review. J Trauma30:1294-1297, 1990.
3.
3. Roth SM, Wheeler JR, Gregory RT, et al: Blunt injury of the abdominal aorta: A review. J Trauma42:748-755, 1997.
4.
4. Wiencek RG Jr, Wilson RF: Injuries to the abdominal vascular system: How much does aggressive resuscitation and prelaparotomy thoracotomy really help?Surgery102:731-736, 1987.
5.
5. Lock JS, Huffman AD, Johnson RC: Blunt trauma to the abdominal aorta. J Trauma27:674-677, 1987.
6.
6. Harkin DW, Kirk G, Clements WD: Abdominal aortic rupture in a child after blunt trauma on a soccer field. Injury30:303-304, 1999.
7.
7. Stanley JC, Zelenock GB, Messina LM, et al: Pediatric renovascular hypertension: A thirty-year experience of operative treatment. J Vasc Surg21:212-226; discussion 226-227, 1995.
8.
8. Wang ZG, Pu LQ, Li GD, et al: Polydioxanone absorbable sutures in vascular anastomoses: Experimental and preliminary clinical studies. Cardiovasc Surg2:508-513, 1994.
9.
9. Rosenthal D: Spinal cord ischemia after abdominal aortic operation: Is it preventable?J Vasc Surg30:391-397, 1999.
10.
10. von Oppell UO, Dunne TT, De Groot MK, et al: Traumatic aortic rupture: Twenty-year metaanalysis of mortality and risk of paraplegia. Ann Thorac Surg58:585-593, 1994.
