A ductus remnant confounding the diagnosis of blunt thoracic aortic injury in a 13-year-old adolescent boy. J Pediatr Surg 2012 Aug;47(8):1614-7
Date
08/21/2012Pubmed ID
22901928DOI
10.1016/j.jpedsurg.2012.04.015Scopus ID
2-s2.0-84865082329 (requires institutional sign-in at Scopus site)Abstract
Anatomical variants can pose diagnostic dilemmas for the clinician and may confound critical decision making for traumatic thoracic aortic injuries. With significant morbidity and mortality for both the injury and the therapeutic options in the pediatric population, an accurate diagnosis is essential for a good outcome. Knowledge of both the anatomical variant as well as the potential injury is required for a precise diagnosis. Highlighting these concepts, we present the case of a 13-year-old trauma patient with a possible blunt thoracic aortic injury. A suspected intimal aortic tear on computed tomography angiography proved to be a ductus remnant, which did not require intervention.
Author List
Chang HL, Savo AM, Seabrook GR, Gourlay DMAuthor
David M. Gourlay MD Chief, Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Accidents, TrafficAdolescent
Aorta, Thoracic
Aortography
Diagnosis, Differential
Ductus Arteriosus
Dyspnea
Femoral Fractures
Fractures, Bone
Humans
Magnetic Resonance Angiography
Male
Multiple Trauma
Pneumothorax
Ribs
Scapula
Spinal Fractures
Tomography, X-Ray Computed
Wounds, Nonpenetrating
