Resumo
The authors report a case of an abdominal aortic aneurism involving all visceral branches minus the Inferior Mesenteric artery in a 4-year-old girl. There was sugestive evidence that the arterial disease had an inflamatory or infectious etiologic factor. The most probable etiological factors could be salmonelas infection of the arterial wall or Takayasu's disease secondary to tuberculosis. The treatment with antibiotic to salmonelas infection during ten days, followed by tuberculostatic therapy for six months was chosen. Concerning the age, the arteries involved and the inflamatory aspect of the aneurysm, the surgical option became an alternative to the clinic treatment in case of any future evidence of the aneurysm enlargement. The patient became asymptomatic as soon as the antibiotic has been started. The control of the aneurysm evolution will be made by ecography each three months.
Abdominal aneurism; Aneurism in childhood; Aortic aneurism
Abdominal aneurism; Aneurism in childhood; Aortic aneurism
RELATOS DE CASOS
Aneurisma de aorta abdominal na infância
Abdominal aortic aneurism in childhood
Abdo Farret Neto, TCBC-RNI; Jeancarlo Fernandes Cavalcante, ACBC-RNII; Renato Vilar FurtadoIII
ICirurgião Vascular do HUOL, Especialista em Cirurgia Vascular pela SBACV, TSBACV, Especialista em Cirurgia Geral pelo CBC
IICirurgião Geral, ex-Residente de Cirurgia Geral do HUOL
IIIResidente de Pediatria do HUOL
Endereço para correspondência Endereço para correspondência: Dr. Abdo Farret Neto Clínica Materna Av. Rodrigues Alves, 766 59020-200 - Natal-RN E mail: farret@eol.com.br
ABSTRACT
The authors report a case of an abdominal aortic aneurism involving all visceral branches minus the Inferior Mesenteric artery in a 4-year-old girl. There was sugestive evidence that the arterial disease had an inflamatory or infectious etiologic factor. The most probable etiological factors could be salmonelas infection of the arterial wall or Takayasu's disease secondary to tuberculosis. The treatment with antibiotic to salmonelas infection during ten days, followed by tuberculostatic therapy for six months was chosen. Concerning the age, the arteries involved and the inflamatory aspect of the aneurysm, the surgical option became an alternative to the clinic treatment in case of any future evidence of the aneurysm enlargement. The patient became asymptomatic as soon as the antibiotic has been started. The control of the aneurysm evolution will be made by ecography each three months.
Key words: Abdominal aneurism; Aneurism in childhood; Aortic aneurism.
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Recebido em 1/9/97
Aceito para publicação em 6/11/97
Trabalho realizado no Hospital Universitário Onofre Lopes - UFRN.
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- 2. Kim LJ, Chen JM, Zunker HA, et al. A novel case of pediatrics abdominal aortic aneurysm with visceral arterial stenoses. Vasc Surg 1997;25 : 778-783.
- 3. Shandall AA, Leopold PW, Shah DM, et al. Visceral aortic aneurysm in a 4 1/2 years-old child: an unusual complications of umbilical artery catheterization. Surgery 1986;100:928-31.
- 4. Stanley JC, Graham LM, Whitehouse WM, et al. Developmental occlusive disease of the abdominal aorta and the splachnic and renal arteries. Am J Surg 1981;142:190-6.
- 5. Lewis VD, Meranze SG, Maclean GK, et al. The midaortic syndrome: diagnosis and treatment. Radiology 1988;167:111-3.
Endereço para correspondência:
Datas de Publicação
-
Publicação nesta coleção
05 Ago 2010 -
Data do Fascículo
Abr 1998
Histórico
-
Aceito
06 Nov 1997 -
Recebido
01 Set 1997