scholarly journals A Case of Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess

2020 ◽  
Vol 63 (10) ◽  
pp. 479-483
Author(s):  
Jun Young Lee ◽  
Juho Han ◽  
Bumjung Park ◽  
Jee Hye Wee
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Neck Mass ◽  
Peritonsillar Abscess ◽  
Extracranial Carotid Artery ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
Uncommon Disease

Extracranial carotid artery aneurysm is an uncommon disease that otorhinolaryngologists may encounter only rarely. It usually presents as pulsatile neck mass or as other neurologic symptoms. We report a case of extracranial internal carotid artery aneurysm in an 81-year old female who presented with a fever and nonpulsatile oropharyngeal swelling mimicking a peritonsillar abscess. Incision and drainage of the swelling lesion could have resulted in catastrophic events such as aneurismal rupture or a stroke. We thus recommend radiologic evaluations of peritonsillar abscess before performing any procedure, even if it is clinically highly suspicious.

scholarly journals Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Jacek Brzost ◽  
Anna M. Cyran ◽  
Martyna Waniewska ◽  
Miroslaw J. Szczepanski
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Cranial Nerves ◽  
Upper Airway ◽  
Artery Aneurysm ◽  
Neck Mass ◽  
Peritonsillar Abscess ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm

The extracranial internal carotid artery aneurysm (EICAA) is an uncommon arterial lesion. Patients typically present with neurologic symptoms resulting from impaired cerebral perfusion and compression symptoms of cranial nerves. Often EICAA presents as a pulsatile neck mass, which is otherwise asymptomatic. We present a case of an 84-year-old female, who was initially referred to the Emergency Department for Otolaryngology with suspected peritonsillar abscess. The patient had a history of recent upper airway infection and cardiovascular comorbidities, including hypertension and ischaemic stroke complicated by extensive neurologic deficits. Physical examination revealed a compact, nonpulsatile mass in the lateral parapharyngeal space and local erythema of the mucosa. Duplex Doppler Ultrasonography and Computed Tomography revealed an atherosclerotic aneurysm of the right internal carotid artery, measuring63×55×88 mm, stretching from the skull base to the angle of the mandible.

scholarly journals Gargantuan internal carotid artery aneurysm—a surgical challenge

2021 ◽  
Author(s):  
Ashutosh Kumar Pandey ◽  
Shivanesan Pitchai ◽  
Harishankar Ramachandran Nair ◽  
P M Vineeth Kumar
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Thromboembolic Event ◽  
Internal Carotid ◽  
Artery Bypass ◽  
Artery Aneurysm ◽  
Extracranial Carotid Artery ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
History Of

Abstract Extracranial carotid artery aneurysms are a rarely reported entity. Here, we describe an unusually large internal carotid artery aneurysm in a 76-year-old female, with progressive enlargement and history of thromboembolic event. She was managed successfully with an open repair and common carotid artery to internal carotid artery bypass.

Excision and End-to-End Anastomosis of a Giant Partially Thrombosed Cervical Internal Carotid Artery Aneurysm Mimicking a Neck Tumor: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
Nickalus R Khan ◽  
Ashish Shah ◽  
Jacques J Morcos
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Head And Neck ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Neck Mass ◽  
Vascular Surgeon ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
Cervical Internal Carotid Artery

Abstract Aneurysms of the cervical internal carotid artery (ICA) are a rare entity1,2 accounting for less than 0.2% to 0.5% of all carotid surgeries3 and less than 1% of all arterial aneurysms.4 There are several types of aneurysms, which include dissecting aneurysms, pseudoaneurysms, mycotic aneurysms, and fusiform and saccular aneurysms.5 The causes can include atherosclerosis, trauma, infection, and dysplasia. We present the case of a 70-yr-old otherwise healthy female found to have a neck mass. She was referred from a peripheral vascular surgeon to a head and neck surgeon for potential biopsy. The head and neck surgeon obtained vascular imaging and referred the patient to neurosurgery for definitive management. The patient gave informed consent for the procedure. An excision of the cervical ICA aneurysm and reanastomosis of the cervical ICA was performed. The patient remained neurologically intact postoperatively and imaging demonstrated complete aneurysm occlusion and a patent cervical ICA anastomosis.  The patient gave verbal consent for this case to be published.

Repair of a true extracranial internal carotid artery aneurysm with transposition surgery in a pediatric patient: A rare case

Vascular ◽  
2019 ◽  
Vol 27 (5) ◽  
pp. 475-478
Author(s):  
Fatih Ada ◽  
Vural Polat
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Connective Tissue Diseases ◽  
Artery Aneurysm ◽  
Etiologic Factor ◽  
Left Internal Carotid Artery ◽  
Extracranial Carotid Artery ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm

Objectives Atherosclerosis is the most common etiologic factor for extracranial carotid artery aneurysm in adults, while in childhood, connective tissue diseases, peritonsillar abscess and infections are the most common. Congenital carotid artery aneurysms are rarely reported in the literature. Methods We present a 10-year-old girl with congenital extracranial left internal carotid artery aneurysm and the treatment management. Results Computed tomography angiography at six months showed that internal carotid artery segments were normal. There was no obstruction or aneurysm recurrence. Conclusions Although extracranial carotid artery aneurysms are rare, they can cause complications such as rupture and thromboembolism with high mortality and morbidity. Therefore, the treatment of extracranial carotid artery aneurysms is recommended.

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