Pediatric Abdominal Aortic Injury Following Blunt Trauma

Blunt abdominal aortic trauma (BAAT) with abdominal aortic injury (AAI) is rare in children, where management is guided by limited case reports.1 Pediatric cases are frequented caused by motor vehicle crash (MVC) and are treated operatively.2 We report successful non‑operative management of low‑grade infrarenal BAAT in a child with concomitant life‑threatening intra‑abdominal injuries. Management included maintenance of normotensive blood pressure goals and regular neurovascular examinations, as well as planned, repeat computed tomography angiography (CTA). This case highlights that carefully selected, hemodynamically stable children with low‑grade infrarenal BAAT can be safely managed non‑operatively with structured surveillance, contributing evidence for a risk-stratified approach to pediatric aortic trauma.