Common carotid artery pseudoaneurysm formation following foreign body ingestion. 2010

N N Mathur, and Rupesh Raj Joshi, and A Nepal, and R K Rauniyar
Department of Otorhinolaryngology and Head and Neck Surgery, B P Koirala Institute of Health Science, Dharan, Nepal.

OBJECTIVE To report an unusual case of pseudoaneurysm formation following ingestion of a thin wire. METHODS 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. CONCLUSIONS 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.

UI MeSH Term Description Entries
D008297 Male Males
D005547 Foreign Bodies Inanimate objects that become enclosed in the body. Foreign Objects,Gossypiboma,Retained Surgical Instruments,Retained Surgical Items,Retained Surgical Needle,Retained Surgical Sponge,Retained Surgical Tools,Textiloma,Bodies, Foreign,Body, Foreign,Foreign Body,Foreign Object,Gossypibomas,Object, Foreign,Objects, Foreign,Retained Surgical Instrument,Retained Surgical Item,Retained Surgical Needles,Retained Surgical Sponges,Retained Surgical Tool,Surgical Instrument, Retained,Surgical Instruments, Retained,Surgical Item, Retained,Surgical Items, Retained,Surgical Needle, Retained,Surgical Needles, Retained,Surgical Sponge, Retained,Surgical Sponges, Retained,Surgical Tool, Retained,Surgical Tools, Retained,Textilomas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D020212 Carotid Artery Injuries Damages to the CAROTID ARTERIES caused either by blunt force or penetrating trauma, such as CRANIOCEREBRAL TRAUMA; THORACIC INJURIES; and NECK INJURIES. Damaged carotid arteries can lead to CAROTID ARTERY THROMBOSIS; CAROTID-CAVERNOUS SINUS FISTULA; pseudoaneurysm formation; and INTERNAL CAROTID ARTERY DISSECTION. (From Am J Forensic Med Pathol 1997, 18:251; J Trauma 1994, 37:473) Carotid Pseudoaneurysm,Trauma, Carotid Artery,Carotid Arteriopathies, Traumatic,Carotid False Aneurysm,False Aneurysm, Carotid,Injuries, Carotid Artery,Artery Injuries, Carotid,Artery Injury, Carotid,Artery Trauma, Carotid,Carotid Arteriopathy, Traumatic,Carotid Artery Injury,Carotid Artery Trauma,Carotid False Aneurysms,Injury, Carotid Artery,Pseudoaneurysm, Carotid,Traumatic Carotid Arteriopathy

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