Unusual cause of haemorrhage from surgical wound in a child

Abstract

Haemorrhage from a surgical wound can be from many potential sources such as injury to vessel, muscle and bone; bleeding disorders; incomplete haemostasis; pseudoaneurysm; and neovascularisation. We report an unusual cause of haemorrhage from the surgical incision in a 9-year-old child. We emphasize that a high index of suspicion is required for early diagnosis, and pseudoaneurysm and neoangiogenesis should be considered in the differential diagnosis of soft tissue masses resulting from direct, blunt trauma even in children.

Pseudoaneurysm of the Profunda Femoris Artery following Blunt Trauma Treated by Endovascular Coil Embolization: Review of Two Cases and Relevant Literature

“…The lateral femoral circumflex may also course posterior to the femoral nerve rather than through it [ 9 ]. More rare occurrences have been described such as an aberrant tortuous vessel described by Singh et al that was discovered during exploration of what was thought to be a profunda femoris pseudoaneurysm but was found to be a pseudoaneurysm of the aberrant vessel [ 10 ].…”

“…If small enough, some pseudoaneurysms can be simply observed as they will often spontaneously thrombose [ 11 ]. IR guided coil embolization is generally the preferred method of treatment for small to moderate size pseudoaneurysms [ 10 ]. However, availability of IR facilities is not definite and in situations where embolization is inaccessible surgical intervention is the preferred treatment [ 10 ].…”

“…IR guided coil embolization is generally the preferred method of treatment for small to moderate size pseudoaneurysms [ 10 ]. However, availability of IR facilities is not definite and in situations where embolization is inaccessible surgical intervention is the preferred treatment [ 10 ]. Surgery is indicated for large pseudoaneurysms or those incapable of being embolized [ 11 ].…”

Traumatic Pseudoaneurysm of the Lateral Circumflex Femoral Artery Presenting as Anterior Thigh Compartment Syndrome: A Rare Complication of Intracapsular Hip Fracture Fixation

“…But if the vascular complication has not caused any pressure effects, a non-invasive radio embolization is very successful. Image-guided coil embolization is generally the preferred method of treatment for small to moderate size pseudoaneurysms [15]. However, availability of IR facilities is not definite and in situations where embolization is inaccessible surgical intervention is the preferred treatment.…”