A superficial temporal artery pseudoaneurysm following dog bites in a 4-year-old child: The first case reported in the literature.

Emrah Işıktekin
{"title":"A superficial temporal artery pseudoaneurysm following dog bites in a 4-year-old child: The first case reported in the literature.","authors":"Emrah Işıktekin","doi":"10.14744/tjtes.2025.94797","DOIUrl":null,"url":null,"abstract":"<p><p>Pseudoaneurysms of the extracranial arterial system are rare, largely due to the small size and thin walls of superficial vessels. This report presents a case of a pseudoaneurysm of the superficial temporal artery (STA) following dog bites in a 4-year-old child, an injury sustained three months prior. The lesion was initially misdiagnosed as an abscess, possibly involving an occult foreign body, and was unsuccessfully drained in the Emergency Department (ED). Physical examination revealed a palpable mass measuring 21 × 18 × 12 mm in the left frontotemporal region above the eyebrow. There were no signs of local inflammation or fluctuation. The child's facial expressions and eyebrow movements were normal, and laboratory tests were within normal limits. Doppler ultrasound demonstrated a partially thrombosed pseudoaneurysm with a well-defined swirl pattern, known as the 'yin and yang' sign. The patient was admitted for surgery, and the frontal branch of the superficial temporal artery was dissected to the neck of the pseudoaneurysm after debride-ment and removal of blood clots. A pseudoaneurysm measuring approximately 1 cm in diameter was observed on the deep side of the lesion, extending up to the eyebrow. The affected artery was ligated using a segmental running locking suture and then excised. Postoperatively, the patient was transferred to the clinic in stable condition without complications. Pathological analysis revealed that the tumor wall consisted of a mixed thrombus with signs of organization. The patient experienced no complications during follow-up. It is of utmost importance to obtain a comprehensive clinical history, conduct a meticulous physical examination, and perform detailed imaging studies, including ultrasound, to avoid overlooking critical pathologies in emergency situations. Such measures are essential for early detection and management of underlying medical conditions, thereby preventing further complications and improving the overall prognosis.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 5","pages":"486-489"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14744/tjtes.2025.94797","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Pseudoaneurysms of the extracranial arterial system are rare, largely due to the small size and thin walls of superficial vessels. This report presents a case of a pseudoaneurysm of the superficial temporal artery (STA) following dog bites in a 4-year-old child, an injury sustained three months prior. The lesion was initially misdiagnosed as an abscess, possibly involving an occult foreign body, and was unsuccessfully drained in the Emergency Department (ED). Physical examination revealed a palpable mass measuring 21 × 18 × 12 mm in the left frontotemporal region above the eyebrow. There were no signs of local inflammation or fluctuation. The child's facial expressions and eyebrow movements were normal, and laboratory tests were within normal limits. Doppler ultrasound demonstrated a partially thrombosed pseudoaneurysm with a well-defined swirl pattern, known as the 'yin and yang' sign. The patient was admitted for surgery, and the frontal branch of the superficial temporal artery was dissected to the neck of the pseudoaneurysm after debride-ment and removal of blood clots. A pseudoaneurysm measuring approximately 1 cm in diameter was observed on the deep side of the lesion, extending up to the eyebrow. The affected artery was ligated using a segmental running locking suture and then excised. Postoperatively, the patient was transferred to the clinic in stable condition without complications. Pathological analysis revealed that the tumor wall consisted of a mixed thrombus with signs of organization. The patient experienced no complications during follow-up. It is of utmost importance to obtain a comprehensive clinical history, conduct a meticulous physical examination, and perform detailed imaging studies, including ultrasound, to avoid overlooking critical pathologies in emergency situations. Such measures are essential for early detection and management of underlying medical conditions, thereby preventing further complications and improving the overall prognosis.

4岁儿童犬咬伤后颞浅动脉假性动脉瘤:文献报道的首例病例。
颅外动脉系统的假性动脉瘤是罕见的,主要是由于表面血管的体积小,壁薄。本报告提出一个病例假性动脉瘤的浅颞动脉(STA)后,狗咬在一个4岁的孩子,伤害持续三个月前。病变最初被误诊为脓肿,可能涉及隐藏的异物,在急诊科(ED)未能成功引流。体格检查发现在眉毛上方左侧额颞区有一个可触及的肿块,大小为21 × 18 × 12 mm。没有局部炎症或波动的迹象。孩子的面部表情和眉毛运动正常,实验室检查也在正常范围内。多普勒超声显示部分血栓形成的假性动脉瘤,具有明确的旋流模式,称为“阴阳”征。患者入院接受手术治疗,经清创和清除血块后,将颞浅动脉额支切开至假性动脉瘤颈部。在病变的深侧观察到一个直径约1cm的假性动脉瘤,向上延伸到眉毛。使用节段性运行锁定缝合线结扎受影响的动脉,然后切除。术后,患者病情稳定,无并发症。病理分析显示肿瘤壁为混合性血栓,有组织征象。随访期间无并发症发生。最重要的是要获得全面的临床病史,进行细致的体格检查,并进行详细的影像学检查,包括超声检查,以避免在紧急情况下忽视关键的病理。这些措施对于早期发现和管理潜在的医疗状况至关重要,从而防止进一步的并发症和改善总体预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信