PEDIATRICS Vol. 82 No. 5 November 1988, pp. 786-788
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Peripheral Aneurysms in Children—A Link to Trauma

CHARLES E. BAGWELL MD1, H. HOLLIS CAFFEE MD1, and JAMES L. TALBERT MD1

1 Division of Pediatric Surgery and Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Florida College of Medicine, Gainesville

Evaluation of soft tissue masses is a common component of pediatric practice and usually includes adenopathy v soft tissue neoplasia in the differential diagnosis. Recent experience with a young child referred for an enlarging axillary mass, which was found to be an aneurysm of the axillary artery, illustrates the natural history ofthis uncommon lesion and its frequent association with trauma in the pediatric population.

CASE REPORT

A 45/12-year-old boy had a 3-month history of an enlarging right axillary mass. Although the child remained asymptomatic, gradual enlargement of the mass was described. The parents could recall no history of injury to the affected extremity (including arterial puncture for blood gas analysis) but, when questioned further, did describe transient discomfort several months previously when an adolescent sibling had grabbed him suddenly by the upper arm while running alongside and lifted him from the ground when he tripped and fell.

Submitted on December 21, 1987
Accepted on February 17, 1988