Skip to main content
Log in

Aneurysm of the abdominal aorta in an eighteen-month-old child

  • Case Reports
  • Published:
Annals of Vascular Surgery

Abstract

We report the case of an infected aneurysm of the abdominal aorta in a 18 month-old child, discovered by routine palpation of the abdomen during hospitalization for pneumonia. Ultrasonography and arteriography showed a 6 cm aneurysm of the abdominal aorta beginning distal to the renal arteries which occluded the right common Iliac artery. The aneurysm was treated by interposing a 6 mm Gore-Tex graft between the infrarenal aorta and the aortic bifurcation. Pathologic examination of the aneurysmal wall demonstrated a leukocytic Infiltrate and the presence of encapsulated Gram positive organisms. Arterial aneurysms are exceedingly rare in children. Their etiology is varied: infection, connective tissue disease, trauma, inflammatory arterial disease or other rare diseases such as tuberous sclerosis, neurofibromatosis, or Beçhet’s disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. GRYBOSKI JD, CLEMETT A. Congenital hepatic artery aneurysm with superior mesenteric artery insufficiency: a steal syndrome.Pediatrics 1967;39:334–347.

    Google Scholar 

  2. ALMGREN B, ERIKSON I, FOUCARD T, et al. Multiple aneurysms of visceral arteries in a child with polyarteritis nodosa.J Fed Surg 1980;15:347–348.

    CAS  Google Scholar 

  3. TODD DW, LEIGH JE, MILLER RH, VOTAVA HJ. True aneurysm formation in a six month old child.J Ped Surg 1984;19:310–311.

    Article  CAS  Google Scholar 

  4. SCHILLER M, GORDON R, SHIFRIN E, ABU-DALU K. Multiple arterial aneurysms.J Ped Surg 1983;18:21–29.

    Article  Google Scholar 

  5. SHORT DW. Multiple congenital aneurysms in childhood: report of a case.Br J Surg 1978;65:509–512.

    Article  CAS  PubMed  Google Scholar 

  6. FRICKER FJ, PARK SC, NECHES WH, et al. Aneurysm of the aorta in children.Chest 1979;76:305–309.

    Article  CAS  PubMed  Google Scholar 

  7. HOWORTH MB. Aneurysm of abdominal aorta in the newborn infant.N Engl J Med 1967;276:1133–1134.

    PubMed  Google Scholar 

  8. MARCHAL C, COURONNE M, ROUQUIER F, et al. Anévrysme aortique, septicémie à staphylocoque et cathétérisme artériel ombilical.Arch Franç Pédiatr 1978;35:74–81.

    CAS  Google Scholar 

  9. KHOSS AE, PONHOLD W, POLACK A, et al. Abdominal aortic aneurysm in a premature neonate with disseminated candidiasis: ultrasound and angiography.Pediatr Radiol 1985;15:420–421.

    Article  CAS  PubMed  Google Scholar 

  10. BURNETT FH, BLEDSOE JH, CHAR F, WILLIAMS GD. Abdominal aortic aneurysmectomy in a 17 year old patient with Ehlers-Danlos syndrome: case report and review of the literature.Surgery 1973;74:617–620.

    CAS  PubMed  Google Scholar 

  11. WIND ES, WISOFF BG, BARON MG, et al. Mycotic aneurysm in infancy: a complication of umbilical artery catheterization.J Ped Surg 1982;17:324–325.

    Article  CAS  Google Scholar 

  12. FAER MJ, TAYBI H. Mycotic aortic aneurysm in premature infants.Radiology 1977;125:177–180.

    CAS  PubMed  Google Scholar 

  13. PATEL S, JOHNSTON KW. Classification and management of mycotic aneurysms.Surg Gynecol Obstet 1977;144:691–694.

    CAS  PubMed  Google Scholar 

  14. WOOD BP, YOUNG LW, ELBADAWI NA. Primary mycotic aortic aneurysm in infancy and childhood.Am J Roentgenol 1973;118:109–115.

    CAS  Google Scholar 

  15. MATTY AT, WEBB TA, STUBBS KG, PENKAVA RR. Inflammatory abdominal aortic aneurysm infected by Campylobacter fetus.JAMA 1983;249:1190–1192.

    Article  Google Scholar 

  16. TAKAYANAGI K, AL-BADER M. Ruptured abdominal aortic aneurysm in a seven year old girl.J Ped Surg 1983;18:193–195.

    Article  CAS  Google Scholar 

  17. BECKER RM, POIRIER NL, COLLINS GF, et al. Cystic medial necrosis and dissecting aneurysm of the aorta in a child with congenital aortic stenosis.J Thorac Cardiovasc Surg 1974;68:108–111.

    CAS  PubMed  Google Scholar 

  18. GAUDERER MWL, WOLKOFF JS, IZANT Jr. RJ. Traumatic aneurysm of the suprarenal abdominal aorta: surgical reconstruction in a seven year old patient.J Ped Surg 1982;17:940–943.

    Article  CAS  Google Scholar 

  19. GRIFFEN NO, BELIN RP, WALDER AL. Traumatic aneurysm of the abdominal aorta.Surgery 1966;60:813–816.

    PubMed  Google Scholar 

  20. HAGOOD CO, GARVIN DD, LACHINA FM, et al. Abdominal aortic aneurysm and renal hamartoma in an infant with tuberous sclerosis.Surgery 1976;79:713–715.

    PubMed  Google Scholar 

  21. STANLEY P, GILSANZ V. Aortic aneurysm in a five year old girl.Pediatr Radiol 1985;15:418–419.

    Article  CAS  PubMed  Google Scholar 

  22. WAGENVOORT CA, HARRIS LE, BROWN AL, VEENEKLAAS GMH. Giant-cell arteritis with aneurysm formation in children.Pediatrics 1963;32:861–867.

    CAS  PubMed  Google Scholar 

  23. ZUMBRO GL, HENLEY LB, TREASURE NA. Saccular aneurysm of ascending aorta caused by granulomatous aortitis in a child.J Thorac Cardiovasc Surg 1975;69:397–401.

    CAS  PubMed  Google Scholar 

  24. O’DUFFY JD, CARNEY JA, DEODHAR S. Behçet’s disease. Report of 10 cases, 3 with new manifestations.Ann Int Med 1971;75:561–570.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Defraigne, J.O., Paquot, J.P., Creemers, E. et al. Aneurysm of the abdominal aorta in an eighteen-month-old child. Annals of Vascular Surgery 2, 193–195 (1988). https://doi.org/10.1007/BF03187574

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03187574

Key words

Navigation