Common carotid artery pseudoaneurysm formation following foreign body ingestion

AbstractObjective:To report an unusual case of pseudoaneurysm formation following ingestion of a thin wire.Method:Case report, including management, and review of the world literature concerning pseudoaneurysm and its management.Results:A 15-year-old boy presented as an emergency with a two-week history of painful swallowing, and a one-week history of a progressively enlarging, right-sided swelling of the lower neck. A foreign body had been ingested two weeks previously. Radiological investigation showed a pseudoaneurysm of the right common carotid artery. The neck was explored, the foreign body removed and the common carotid artery repaired. The patient was discharged on the 10th post-operative day without neurovascular complication.Conclusion:This is an unusual presentation of pseudoaneurysm of the common carotid artery following accidental ingestion of a foreign body, reported for its rarity and management.

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Vanishing tumour of the internal auditory meatus

The Journal of Laryngology & Otology ◽

10.1017/s0022215108003447 ◽

2008 ◽

Vol 123 (5) ◽

pp. 563-565 ◽

Cited By ~ 4

Author(s):

A Jain ◽

M Ablett ◽

P Wardrop

Keyword(s):

World Literature ◽

Cerebellopontine Angle ◽

Renal Carcinoma ◽

Treatment Options ◽

Internal Auditory Meatus ◽

Radiological Investigation ◽

Urological Symptoms ◽

History Of ◽

The Common ◽

Rare Report

AbstractObjectives:We report a very rare case of prostatic metastasis in the internal auditory meatus, which disappeared with treatment.Case report:An elderly man presented with a history of hearing loss, dizzy spells and, more recently, facial palsy. He also complained simultaneously of urological symptoms, which on investigation revealed advanced, metastatic prostate cancer. Radiological investigation, in the form of magnetic resonance imaging, revealed an internal auditory meatus mass which resembled an acoustic neuroma. The patient was treated with hormone injections.Tumours of the internal auditory meatus and cerebellopontine angle are mostly primary. Rarely, metastatic deposits have been described in this region, from squamous cell carcinoma, malignant melanoma, malignant parotid oncocytoma, renal carcinoma, and lung and thyroid primaries.Conclusion:To our knowledge, this is a very rare report in the world literature of prostatic metastasis to the internal auditory meatus. We discuss the common presenting features, investigations and treatment options for metastatic prostatic tumours of the internal auditory meatus and cerebellopontine angle.

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Endovascular Internal Trapping by Low-Concentration N-butyl-2-Cyanoacrylate for a Ruptured Giant Common Carotid Artery Pseudoaneurysm

Vascular and Endovascular Surgery ◽

10.1177/1538574420953942 ◽

2020 ◽

Vol 55 (1) ◽

pp. 81-85

Author(s):

Tomoaki Harada ◽

Atsushi Fujita ◽

Junichi Sakata ◽

Masaaki Kohta ◽

Eiji Kohmura

Keyword(s):

Carotid Artery ◽

Common Carotid Artery ◽

Parent Artery ◽

Artery Pseudoaneurysm ◽

Low Concentration ◽

Complete Obliteration ◽

Minimum Number ◽

History Of ◽

Giant Pseudoaneurysm

Treating carotid blowout syndrome following rupture of giant pseudoaneurysms is difficult because the destroyed parent artery precludes conventional treatment. We present a patient with a ruptured giant pseudoaneurysm that we occluded using a modified internal trapping technique with low-concentration N-butyl-2-cyanoacrylate (NBCA) and a minimum number of coils. An 80-year-old man with a history of chemoradiation therapy for oropharyngeal cancer presented with several episodes of active bleeding from the subsequent tracheostomy site. Radiological examination revealed a giant right common carotid artery (CCA) pseudoaneurysm. Endovascular internal trapping was performed using both NBCA and coils under proximal flow control. We slowly injected 9 ml of low-concentration NBCA, which subsequently filled the entire pseudoaneurysm. We then injected an additional 2 ml of NBCA into the proximal CCA to achieve complete obliteration. No re-bleeding was observed during the 6-month follow-up. Endovascular internal trapping using low-concentration NBCA was feasible to treat a giant CCA pseudoaneurysm. The injected low-concentration NBCA filled the entire pseudoaneurysm without the risk of catheter entrapment.

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PERFORATION OF THE COMMON CAROTID ARTERY BY A FOREIGN BODY IN THE PHARYNX

The Lancet ◽

10.1016/s0140-6736(58)90618-4 ◽

1958 ◽

Vol 271 (7012) ◽

pp. 141 ◽

Cited By ~ 4

Author(s):

M.F. Butler

Keyword(s):

Foreign Body ◽

Carotid Artery ◽

Common Carotid Artery ◽

The Common

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Foreign body in the throat migrating through the common carotid artery

The Journal of Laryngology & Otology ◽

10.1017/s0022215100134991 ◽

1996 ◽

Vol 110 (8) ◽

pp. 793-795 ◽

Cited By ~ 35

Author(s):

O. A. Osinubi ◽

A. I. Osiname ◽

A. Pal ◽

R. J. Lonsdale ◽

C. Butcher

Keyword(s):

Foreign Body ◽

Carotid Artery ◽

Common Carotid Artery ◽

Parapharyngeal Space ◽

The Common ◽

Metal Foreign Body

AbstractWe present a 55-year-old lady who swallowed a 3 cm pointed metal foreign body whilst eating a sardine salad. The foreign body migrated from the hypopharynx through the parapharyngeal space and traversed the common carotid artery over a period of 12 days. The foreign body was removed by exploration of the neck.

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Spontaneous Rupture of the Common Carotid Artery With Pseudoaneurysm Formation

Annals of Emergency Medicine ◽

10.1016/s0196-0644(97)70148-3 ◽

1997 ◽

Vol 30 (2) ◽

pp. 230-233 ◽

Cited By ~ 9

Author(s):

Heather Prendergast ◽

Dick Kuo

Keyword(s):

Carotid Artery ◽

Common Carotid Artery ◽

Spontaneous Rupture ◽

Pseudoaneurysm Formation ◽

The Common

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Pseudoaneurysm after ICD battery replacement

VASA ◽

10.1024/0301-1526.36.1.45 ◽

2007 ◽

Vol 36 (1) ◽

pp. 45-49

Author(s):

Schulz ◽

Lehmkuhl ◽

Zipfel ◽

Hetzer

Keyword(s):

Carotid Artery ◽

Common Carotid Artery ◽

Doppler Sonography ◽

Histopathological Examination ◽

Color Doppler ◽

Morphological Characteristics ◽

Sudden Onset ◽

History Of ◽

Traumatic Origin ◽

The Common

False aneurysms of the extracranial carotid arteries are rare and mainly of traumatic origin. We report on a patient who presented with a sudden onset mass in his right neck 2 weeks after routine replacement of his ICD battery. He had received systemic anticoagulation since an aortic valve replacement 5 years before. By color Doppler sonography the mass was identified as a partly thrombosed false aneurysm originating from the common carotid artery. As no spontaneous resolution occurred during the following days the aneurysm was removed surgically 5 days later without further complications. However no connection to the common carotid artery was found at surgery. Yet in the histopathological examination the specimen showed the morphological characteristics of a pseudoaneurysm. There was no history of neck-trauma and no attempted vascular access during the recent operation.

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947 Mycotic Pseudoaneurysm Of the Common Carotid Artery: A Rare Neck Lump

British Journal of Surgery ◽

10.1093/bjs/znab134.337 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

O Kenyon ◽

R Tanna ◽

V Sharma ◽

P Kullar

Keyword(s):

Foreign Body ◽

Carotid Artery ◽

Common Carotid Artery ◽

Saphenous Vein Graft ◽

Vocal Cord Palsy ◽

Mycotic Pseudoaneurysm ◽

Long Saphenous Vein ◽

Contrast Enhanced Ct ◽

History Of ◽

Neck Lump

Abstract Mycotic pseudoaneurysms are rare, potentially fatal arterial wall infections of either fungal or bacterial origin. The estimated incidence is 20 cases/decade. Trauma is the commonest cause and in 25% the cause remains unknown. A 62-year-old man presented with a three-week history of a non-tender enlarging neck lump associated with hoarseness of voice. He was apyrexial with no stridor nor dysphagia. The lump measured 10x10cm at levels II-III on the left side of the neck with no overlying erythema. After normal oral examination, flexible nasendoscopy revealed a left-sided pharyngeal swelling occluding 25% of the airway. He was commenced on intravenous antibiotics and steroids. A contrast enhanced CT demonstrated a mycotic pseudoaneurysm of the left common carotid artery (CCA) with a linear foreign body exiting the oesophagus. He underwent emergency surgery with the vascular team to excise 3cm of unhealthy CCA with long saphenous vein graft repair. Neck exploration and panendoscopy found no further defects including no foreign body. He made an excellent recovery and is awaiting an injection thyroplasty to manage his complete left vocal cord palsy. Although rare, vascular injury and subsequent pseudoaneurysm is an important differential and should always be considered in those presenting with neck swelling.

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Case Report: Mycotic common carotid artery pseudoaneurysm in a child. A case report.

F1000Research ◽

10.12688/f1000research.54206.1 ◽

2021 ◽

Vol 10 ◽

pp. 564

Author(s):

Imtinene Ben Mrad ◽

Rim Miri ◽

Melek Ben Mrad ◽

Wafa Aloui ◽

Sobhi Mleyhi ◽

...

Keyword(s):

Case Report ◽

Carotid Artery ◽

Common Carotid Artery ◽

Artery Aneurysm ◽

Artery Pseudoaneurysm ◽

Extracranial Carotid Artery ◽

Carotid Artery Aneurysm ◽

History Of ◽

Efficient Alternative ◽

Surgery Department

Extracranial carotid artery aneurysms in children are extremely rare, nevertheless associated with a great potential of thromboembolic episodes and rupture especially those with mycotic origin. The surgical treatment is very challenging, and there is still a controversy concerning revascularisation after the resection of the aneurysm. In this manuscript, we report the observation of an 8-year-old boy with the medical history of Leukemia who is admitted urgently for a mycotic right common carotid artery aneurysm, occurring after a chemoport infection who was operated on in our cardiovascular surgery department with surgical resection and ligation. It is the second report in the pediatric literature of a mycotic pseudoaneurysm situated in the common carotid artery, but the first documented by medical imagery. Through this case, we highlight that ligation of the infected carotid artery can be a safe and efficient alternative especially in Children.

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