Facial Artery Pseudoaneurysm in a Child Diagnosed With Point of Care Ultrasound

Maher M. Abulfaraj, J. Kate Deanehan

Research output: Contribution to journalArticle

Abstract

This case describes a 3-year-old boy who was brought to the pediatric emergency department for evaluation of facial swelling. The patient's history was remarkable for a deep facial laceration 5 days prior that required surgical repair in the operating room. On the day of presentation, he was noted to have mild swelling and tenderness to palpation of the left jaw below the mandible, in the same location as his recent laceration repair. Point-of-care ultrasound (POCUS) revealed a pseudoaneurysm with an arterial feeding vessel. This was confirmed by radiology-performed ultrasound, and the patient underwent a coil embolization procedure. To our knowledge, this is the first reported case of a pseudoaneurysm being diagnosed by POCUS in a pediatric patient. This case demonstrates the utility of POCUS in facilitating the timely recognition of vascular mass lesions and guiding management in the emergency department to avoid complications.

Original languageEnglish (US)
Pages (from-to)733-735
Number of pages3
JournalPediatric emergency care
Volume35
Issue number10
DOIs
StatePublished - Oct 1 2019

Fingerprint

Point-of-Care Systems
False Aneurysm
Arteries
Lacerations
Hospital Emergency Service
Pediatrics
Palpation
Operating Rooms
Jaw
Mandible
Radiology
Blood Vessels

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

Facial Artery Pseudoaneurysm in a Child Diagnosed With Point of Care Ultrasound. / Abulfaraj, Maher M.; Deanehan, J. Kate.

In: Pediatric emergency care, Vol. 35, No. 10, 01.10.2019, p. 733-735.

Research output: Contribution to journalArticle

@article{c18bc9732e5b4e5488d9a1ee37727e0e,
title = "Facial Artery Pseudoaneurysm in a Child Diagnosed With Point of Care Ultrasound",
abstract = "This case describes a 3-year-old boy who was brought to the pediatric emergency department for evaluation of facial swelling. The patient's history was remarkable for a deep facial laceration 5 days prior that required surgical repair in the operating room. On the day of presentation, he was noted to have mild swelling and tenderness to palpation of the left jaw below the mandible, in the same location as his recent laceration repair. Point-of-care ultrasound (POCUS) revealed a pseudoaneurysm with an arterial feeding vessel. This was confirmed by radiology-performed ultrasound, and the patient underwent a coil embolization procedure. To our knowledge, this is the first reported case of a pseudoaneurysm being diagnosed by POCUS in a pediatric patient. This case demonstrates the utility of POCUS in facilitating the timely recognition of vascular mass lesions and guiding management in the emergency department to avoid complications.",
author = "Abulfaraj, {Maher M.} and Deanehan, {J. Kate}",
year = "2019",
month = "10",
day = "1",
doi = "10.1097/PEC.0000000000001943",
language = "English (US)",
volume = "35",
pages = "733--735",
journal = "Pediatric Emergency Care",
issn = "0749-5161",
publisher = "Lippincott Williams and Wilkins",
number = "10",

}

TY - JOUR

T1 - Facial Artery Pseudoaneurysm in a Child Diagnosed With Point of Care Ultrasound

AU - Abulfaraj, Maher M.

AU - Deanehan, J. Kate

PY - 2019/10/1

Y1 - 2019/10/1

N2 - This case describes a 3-year-old boy who was brought to the pediatric emergency department for evaluation of facial swelling. The patient's history was remarkable for a deep facial laceration 5 days prior that required surgical repair in the operating room. On the day of presentation, he was noted to have mild swelling and tenderness to palpation of the left jaw below the mandible, in the same location as his recent laceration repair. Point-of-care ultrasound (POCUS) revealed a pseudoaneurysm with an arterial feeding vessel. This was confirmed by radiology-performed ultrasound, and the patient underwent a coil embolization procedure. To our knowledge, this is the first reported case of a pseudoaneurysm being diagnosed by POCUS in a pediatric patient. This case demonstrates the utility of POCUS in facilitating the timely recognition of vascular mass lesions and guiding management in the emergency department to avoid complications.

AB - This case describes a 3-year-old boy who was brought to the pediatric emergency department for evaluation of facial swelling. The patient's history was remarkable for a deep facial laceration 5 days prior that required surgical repair in the operating room. On the day of presentation, he was noted to have mild swelling and tenderness to palpation of the left jaw below the mandible, in the same location as his recent laceration repair. Point-of-care ultrasound (POCUS) revealed a pseudoaneurysm with an arterial feeding vessel. This was confirmed by radiology-performed ultrasound, and the patient underwent a coil embolization procedure. To our knowledge, this is the first reported case of a pseudoaneurysm being diagnosed by POCUS in a pediatric patient. This case demonstrates the utility of POCUS in facilitating the timely recognition of vascular mass lesions and guiding management in the emergency department to avoid complications.

UR - http://www.scopus.com/inward/record.url?scp=85072994356&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072994356&partnerID=8YFLogxK

U2 - 10.1097/PEC.0000000000001943

DO - 10.1097/PEC.0000000000001943

M3 - Article

C2 - 31524822

AN - SCOPUS:85072994356

VL - 35

SP - 733

EP - 735

JO - Pediatric Emergency Care

JF - Pediatric Emergency Care

SN - 0749-5161

IS - 10

ER -