Introduction: Suprahepatic and inferior vena cava (IVC) pseudoaneurysms are rare in children. Most cases in adults are treated surgically due to the high risk of rupture.

Case Report: Seven-year-old girl referred for a thoracic-abdominal trauma of unknown origin. Hemodynamically stable, with a hemoglobin level of 9.1 g/dl. An emergency CT scan was performed, showing a pseudoaneurysm at the confluence of the IVC with the middle and left suprahepatic veins, with active bleeding contained by the hepatic capsule. Given the hemodynamic stability and surgical risk, conservative treatment was decided upon. CT-scan at 24 hours showed cessation of bleeding. A control CT-scan was performed one month, three months, one year, and one and a half years later, showing the lesion had disappeared.

Discussion: Conservative treatment of suprahepatic vein pseudoaneurysm/ICV is feasible in the case of hemodynamic stability provided that strict clinical and radiological surveillance is maintained.

Download full-text PDF

Source
http://dx.doi.org/10.54847/cp.2023.02.18DOI Listing

Publication Analysis

Top Keywords

conservative treatment
12
treatment suprahepatic
8
hemodynamic stability
8
suprahepatic
4
suprahepatic pseudoaneurysm
4
pseudoaneurysm pediatric
4
pediatric patient
4
patient introduction
4
introduction suprahepatic
4
suprahepatic inferior
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!