Total section of the Humeral artery during a fall on a sharp part of a mirror: Case Report

Abstract

Pediatric vascular trauma is rare and comprises only approximately 0.6% to 2% of all traumatic pediatric injuries [1]. The most common mechanisms include motor vehicle accidents, firearm injuries, stab wounds, and falls. The most commonly injured vessels include those of the upper extremity, followed in decreasing frequency by abdominal trauma (Inferior vena cava, iliac and renal vessels), lower extremity, chest, and neck vessels [2,3]. Compared to adult vascular trauma, pediatric vascular injury is more likely to be asymptomatic and is associated with vasospasm. Therefore, consideration of minor signs is essential. Minor signs require other diagnostic explorations such as Doppler ultrasound and/or CT angiography. Major signs warrant rapid intervention; these include persistent shock despite adequate resuscitation, active bleeding, rapidly expanding hematoma, decreased peripheral pulses, and proximity of wound trajectory to major vessels and/or signs of nerve damage, arteriovenous fistula or distal ischemia (pallor, absence of pulse, paresthesia and pain) [4,5]. The purpose of this work is to show a domestic accident in a child such as total section of the humeral artery by the sharp part of a mirror.