A late onset carotido-jugular fistula following shotgun injury

VASA ◽  
2004 ◽  
Vol 33 (1) ◽  
pp. 46-48 ◽  
Author(s):  
Hazinedaroglu ◽  
Genc ◽  
Aksoy ◽  
Köksoy ◽  
Tüzüner ◽  
...  

The incidence of arteriovenous fistulae (AVF) is quite rare in the head and neck region comprising less than 4% of all the traumatic AVF encountered elsewhere in the body. A 42-year-old man presented with a palpable thrill in the cervical region and headache. He had a shotgun injury 10 years ago and had no problem until the previous three months. Diagnosis of a high output traumatic AVF between right common carotid artery and internal jugular vein was made arteriographically. Presence of a neighbouring traumatic aneurysm on the common carotid artery and 9 mm diameter of the fistula tractus suggested open surgery. At the operation ligation of the tractus and aneurysmorraphy was performed and the patient was discharged in the third postoperative day. He has still no problem. This case documented that a shotgun injury even 10 years later may result with an AVF.

2016 ◽  
Vol 64 (3) ◽  
pp. 280-286
Author(s):  
Rosangela Sayuri Saga KAMIKAWA ◽  
Ricardo RAITZ ◽  
Marlene Fenyo PEREIRA

ABSTRACT Objective: The aim of the study was to evaluate the contribution of lateral and frontal teleradiographs to the identification and location of calcifications in soft tissues, when compared with those observed in panoramic radiographs. Methods: Radiopaque references in gutta-percha were placed unilaterally on the heads of three cadavers, endeavoring at all times to keep to the same level as the bifurcation of the common carotid artery in different structures, sites of possible calcifications, and three radiographic incidences were obtained for each anatomic part. Thus, the sample of this study was composed of 27 panoramic radiographs, 27 lateral teleradiographs and 27 frontal teleradiographs, totaling 81 radiographs. Results: According to the criteria of Cicchetti and Sparrow, the intraclass correlation coefficients (ICCs) obtained were below 0.40. Conclusion: It can be concluded that the lateral and frontal teleradiographs did not contribute efficiently to the identification and location of radiopacities in the cervical region, and that the anatomic conformation interferes in the observation of the presence of radiopacity in the cervical region.


2010 ◽  
Vol 8 (1) ◽  
Author(s):  
Maria Elena Gianicolo ◽  
Emilio Antonio Luca Gianicolo ◽  
Francesco Tramacere ◽  
Maria Grazia Andreassi ◽  
Maurizio Portaluri

2013 ◽  
Vol 19 (3) ◽  
pp. 124-129
Author(s):  
P. Gavrilidou ◽  
D.M. Iliescu ◽  
Baz R. ◽  
L.M. Rusali ◽  
P. Bordei

Abstract the methods of dissection and analysis of angioCT’s. Each of the details was analyzed comparatively on both sides of the body assessing: the origin of the superior thyroid artery in relation to the carotid bifurcation, the face of the external carotid artery that gives origin and the traject of the artery from the origin to the glandular parenchyma. The origin of the superior thyroid artery was evaluated on a number of 64 cases, most frequently having its origin from the external carotid artery, an aspect met 53.125 % of cases, at a distance that was between 1-18 mm. In 28.125 % of cases the superior thyroid artery had its origin in the common carotid trunk at a distance of 1-10 mm caudal to the terminal bifurcation of the common carotid. In 18.75 % of cases, the thyroid artery originated from the carotid bifurcation, which thus ends up by trifurcation. The side of the vessel that emerges the superior thyroid artery was assessed on 42 cases; most commonly the superior thyroid artery having its origin on the medial face, an aspect found in 66.67 % of cases; in 23.81 % of cases originated from the posterior medial and only two cases (4.76 % of cases), both on the left side(8.70 % of cases on the left), the origin of the superior thyroid artery was located on the anterior, respectively faces of the common carotid artery. The traject of the superior thyroid artery was followed on 53 cases, in most cases the artery showing initially a horizontal traject (transverse) towards medially for 1-4 cm, then became obliquely downward, an aspect met in 28.30 % of cases and in 22.64 % of cases, the artery was obliquely downward from its origin. In 11.32 % of cases the traject was obliquely ascending and in 9.43 % of cases the artery was initially obliquely upward for 2-3 cm, after which became transverse. For the remaining 28.30 % of the cases we have met a number of other 5 different patterns of traject but in a small percentage for each of them (5.66% of cases).


F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 509
Author(s):  
Maria Qadri ◽  
Qurban Hussain Sheikh ◽  
Mir Tahir Hussain Talpur ◽  
Uzair Yaqoob ◽  
Khalil Ullah Shabbir

Cutaneous tuberculosis (TB) can present in a number of ways, making it difficult to diagnose. It most commonly presents as scrofuloderma, which commonly affects the supra-clavicular region, axilla and the cervical region. All the different presentations of cutaneous TB should be known to clinicians, in order to diagnose it early. The objective of this article is to describe a case of scrofuloderma presenting with different cutaneous lesions at the same time, which were culture negative. We present a 23-year-old male with no known co-morbidities, presenting to us with fever and multiple swellings on the body. Cultures of pus and blood were negative for TB; GeneXpert detected the microorganism. Cutaneous TB, although a rare disease with wide spectrum of cutaneous lesions, should be considered in differential diagnosis of cold abscesses and nodules, especially of the head and neck region.


2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Neelesh Kanaskar ◽  
P. Vatsalaswamy ◽  
Preeti Sonje ◽  
Vaishali Paranjape

During routine dissection of head and neck region in a 65-year-old female cadaver variation in the origin of right subclavian artery was found. The right subclavian artery originated as a direct branch of arch of aorta distal to the origin of left subclavian artery and it was found passing behind esophagus (retroesophageal) and ascending upwards to the right side while the left subclavian artery originated normally from arch of aorta distal to the origin of left common carotid artery. Anomalous variations in the origin and course of arteries have serious implications in angiographic and surgical procedures; hence it is of great importance to be aware of such possibilities of variations.


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