Pseudoaneurysm of the brachial artery in an infant due to vaccination: a case report

Abstract Background Pseudoaneurysm is a known complication of penetrating arterial injuries such as catheterization, gunshot wounds, and open fractures. Vaccination is an effective method for preventing multiple, serious, infectious diseases in children. Common adverse reactions related to vaccinati...

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Main Authors: Hai-fei Shi, Shuai Yuan, Ke-jiong Liang, Po Ye, Hu Yang
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-022-03793-2
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author Hai-fei Shi
Shuai Yuan
Ke-jiong Liang
Po Ye
Hu Yang
author_facet Hai-fei Shi
Shuai Yuan
Ke-jiong Liang
Po Ye
Hu Yang
author_sort Hai-fei Shi
collection DOAJ
description Abstract Background Pseudoaneurysm is a known complication of penetrating arterial injuries such as catheterization, gunshot wounds, and open fractures. Vaccination is an effective method for preventing multiple, serious, infectious diseases in children. Common adverse reactions related to vaccination include fever, swelling, redness, and pain. Brachial pseudoaneurysm after vaccination has not been previously reported. Case presentation Herein we describe a novel case of brachial pseudoaneurysm after vaccination in a child aged 1 year and 3 months. A pulsatile mass was formed in the medial left arm of the infant 10 days after vaccination at a community hospital and gradually grew larger. Preoperative images depicted an eccentric aneurysm in the brachial artery and a swirling flow pattern in the mass. The pseudoaneurysm was excised, and vein graft interpositioning was successfully performed. There were no short-term or long-term complications during the follow-up period. Conclusions Brachial pseudoaneurysm is a rare complication of vaccination via intramuscular injection. Medical staff should avoid puncture wounds to the brachial artery during vaccination, especially in infants.
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spelling doaj.art-1ee35ec8cfc04207b29b80a7cac4cc282023-01-08T12:21:02ZengBMCBMC Pediatrics1471-24312023-01-012311610.1186/s12887-022-03793-2Pseudoaneurysm of the brachial artery in an infant due to vaccination: a case reportHai-fei Shi0Shuai Yuan1Ke-jiong Liang2Po Ye3Hu Yang4Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of MedicineDepartment of Echocardiography and Vascular Ultrasound Center, The First Affiliated Hospital, Zhejiang University School of MedicineDepartment of Orthopedics, The First Affiliated Hospital, Zhejiang University School of MedicineDepartment of Orthopedics, The First Affiliated Hospital, Zhejiang University School of MedicineDepartment of Orthopedics, The First Affiliated Hospital, Zhejiang University School of MedicineAbstract Background Pseudoaneurysm is a known complication of penetrating arterial injuries such as catheterization, gunshot wounds, and open fractures. Vaccination is an effective method for preventing multiple, serious, infectious diseases in children. Common adverse reactions related to vaccination include fever, swelling, redness, and pain. Brachial pseudoaneurysm after vaccination has not been previously reported. Case presentation Herein we describe a novel case of brachial pseudoaneurysm after vaccination in a child aged 1 year and 3 months. A pulsatile mass was formed in the medial left arm of the infant 10 days after vaccination at a community hospital and gradually grew larger. Preoperative images depicted an eccentric aneurysm in the brachial artery and a swirling flow pattern in the mass. The pseudoaneurysm was excised, and vein graft interpositioning was successfully performed. There were no short-term or long-term complications during the follow-up period. Conclusions Brachial pseudoaneurysm is a rare complication of vaccination via intramuscular injection. Medical staff should avoid puncture wounds to the brachial artery during vaccination, especially in infants.https://doi.org/10.1186/s12887-022-03793-2Brachial arteryComplicationInfantPseudoaneurysmVaccinationCase report
spellingShingle Hai-fei Shi
Shuai Yuan
Ke-jiong Liang
Po Ye
Hu Yang
Pseudoaneurysm of the brachial artery in an infant due to vaccination: a case report
BMC Pediatrics
Brachial artery
Complication
Infant
Pseudoaneurysm
Vaccination
Case report
title Pseudoaneurysm of the brachial artery in an infant due to vaccination: a case report
title_full Pseudoaneurysm of the brachial artery in an infant due to vaccination: a case report
title_fullStr Pseudoaneurysm of the brachial artery in an infant due to vaccination: a case report
title_full_unstemmed Pseudoaneurysm of the brachial artery in an infant due to vaccination: a case report
title_short Pseudoaneurysm of the brachial artery in an infant due to vaccination: a case report
title_sort pseudoaneurysm of the brachial artery in an infant due to vaccination a case report
topic Brachial artery
Complication
Infant
Pseudoaneurysm
Vaccination
Case report
url https://doi.org/10.1186/s12887-022-03793-2
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