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Surgical treatment of massive bleeding of a right aberrant subclavian artery after oesophageal stent removal
- Source :
- Journal of Pediatric Surgery Case Reports, Vol 33, Iss, Pp 55-57 (2018)
- Publication Year :
- 2018
- Publisher :
- Elsevier, 2018.
-
Abstract
- We report a case of a 9-year-old female who required surgical treatment and resuscitation after severe transoesophageal bleeding of a right aberrant subclavian artery (RASA). Bleeding of this RASA was caused by a mechanical irritation due to an oesophageal stent. The stent was placed weeks before to dilate the oesophagus after accidental ingestion of a caustic agent. Although conservative management of benign oesophageal stenosis in children is highly recommended, there are still some major complications to be considered. To avoid erosion of aberrant subclavian artery vascular rings and slings, as described in several case reports, these vessels should be excluded by computed tomography (CT) or magnetic resonance imaging (MRI) scans before placement of oesophageal stents. This case suggests that management of caustic ingestion in children is still a major challenge in paediatric surgical departments. Keywords: Paediatric surgery, Chemical Burn, Oesophageal stenosis, Oesophageal stenting, Vascular abnormalities, Right aberrant subclavian artery
- Subjects :
- medicine.medical_specialty
Resuscitation
medicine.medical_treatment
lcsh:Surgery
Aberrant subclavian artery
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Massive bleeding
Medicine
Major complication
cardiovascular diseases
Surgical treatment
medicine.diagnostic_test
business.industry
lcsh:RJ1-570
Stent
Magnetic resonance imaging
lcsh:Pediatrics
lcsh:RD1-811
medicine.disease
Surgery
Oesophageal stent
Pediatrics, Perinatology and Child Health
030211 gastroenterology & hepatology
business
Subjects
Details
- Language :
- English
- ISSN :
- 22135766
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Surgery Case Reports
- Accession number :
- edsair.doi.dedup.....4224613ea8e528c24c8ac87ca2a65d9e