Abstract
Post traumatic pseudoaneurysm is a well documented complication of vascular injuries which needs early diagnosis and early management otherwise there may be significant morbidity and mortality. We present a patient who had been operated elsewhere for a foreign body lodged in neck during splinter injury sustained while bursting a cracker. He presented to ENT department of our hospital with bleeding from the wound site. We are reporting this case because pseudoaneurysm of the lingual artery as such is very rare. We could not find any other reported case in available English literature. Moreover the treating ENT surgeons need to be sensitized to the presence of such an entity and hence avoid late complications.
Keywords: Pseudoaneurysm, Lingual artery
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References
- 1.Johnson K.W., Rutherford R.B., Tilson M.D. Suggested studies for reporting an arterial aneurysm. Journal Vascular Surgery. 1991;13:452. doi: 10.1067/mva.1991.26737. [DOI] [PubMed] [Google Scholar]
- 2.Osler Aneurysm of abdominal aorta. Lancet. 1905;2:1089. doi: 10.1016/S0140-6736(01)69613-2. [DOI] [Google Scholar]
- 3.Gomez C.R., May A.K., Terry J.B., Tulyapronchote R. Endovascular therapy of traumatic injuries of the extracranial cerebral arteries. Critical Care Dis. 1999;15:789–809. doi: 10.1016/S0749-0704(05)70088-9. [DOI] [PubMed] [Google Scholar]
- 4.Stella N., Rossi G., Catalana A., Udini M. Post-traumatic pseudoaneurysm of common carotid artery. Important of echo-doppler evaluation in intimal damage. Journal of Cardiovascular Surgery (Torino) 2001;42(5):679–681. [PubMed] [Google Scholar]
- 5.Fitoz S., Atasoy C., Dusunceli E., Yagmurlin A., Erden A., Akyan S. Post-traumatic intrasplenic pseudoaneurysm with delayed rupture: color doppler ultrasound and CT finding. Journal Clinical ultrasound. 2001;29(2):102–4. doi: 10.1002/1097-0096(200102)29:2<102::AID-JCU1006>3.0.CO;2-1. [DOI] [PubMed] [Google Scholar]
- 6.Mignon F., Qanadli S.D., Sissakian J.F. Post-traumatic aneurysmal dissection of extracranial internal carotid artery; helical CT and angiography aspect, a case. Journal Radiology. 1999;80(6):585–587. [PubMed] [Google Scholar]
- 7.Mullges W., Ringelstein E.B., Leibold M. Non invasive diagnosis of internal carotid artery dissection. Journal of Neurol Neurosurgery Psychiatry. 1992;55:98–104. doi: 10.1136/jnnp.55.2.98. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Gerroti M., Rawat B., Ashby P., Simmons M. Application of duplex Doppler sonography in intracranial carotid dissection. Journal Ultrasound Med. 1992;11:121–123. doi: 10.7863/jum.1992.11.2.121. [DOI] [PubMed] [Google Scholar]
- 9.Osler W. Remark on arterial venous aneurysm. Lancet. 1995;2:949. [Google Scholar]
- 10.Mater R. Ligation of abdominal aorta. Ann Surgery. 1925;81:457. doi: 10.1097/00000658-192502010-00004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Mann G.S., Philip R., Balachandran A. Intractable epistaxis secondary to post-traumatic pseudoaneurysm. Medical Journal Malaysia. 2005;60(3):367–369. [PubMed] [Google Scholar]
- 12.Aquilime K., Cartz F., Keohane C., Kaar G.K. Pseudoaneurysm of occipital artery; an unusual cause of persistence headache after minor head injury. Ir Med Journal. 2005;98(7):215–217. [PubMed] [Google Scholar]
- 13.Brooke B. Of the treatment of traumatic AV fistula. South Med Journal. 1930;23:100. [Google Scholar]
- 14.Ledgerwood A.N., Luces C.E. Mycotic aneurysm of carotid artery. Arch Surgery. 1974;109:496. doi: 10.1001/archsurg.1974.01360040022006. [DOI] [PubMed] [Google Scholar]
- 15.Monson R.L., Abxender R.H. Vein reconstruction of mycotic internal carotid. Ann Surgery. 1980;191:47. doi: 10.1097/00000658-198001000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Samsom D.S., Gewertz B.L., Beyer C.W., Jr Saphenous vein interposition graph in the microsurgery treatment of cerebral ischemia. Arch Surgery. 1981;116:1578. doi: 10.1001/archsurg.1981.01380240062009. [DOI] [PubMed] [Google Scholar]
- 17.Khalil I., Nawfal G. Mycotic aneurysm of carotid artery. Ligation versus reconstruction. Case report and review of literature. European Journal Vascular Surgery. 1993;7:588. doi: 10.1016/S0950-821X(05)80377-9. [DOI] [PubMed] [Google Scholar]
- 18.Michielson D., Vanher R., Dicort H. Mycotic aneurysm of carotid artery: a case report and review of literature. Acta Chir Belg. 1997;97:44. [PubMed] [Google Scholar]
- 19.Duke B.J., Ryu R.R., Coldwell D.M., Brega K.E. Treatment of blunt injury to carotid artery by using endovascular stents; an early experience. Journal Neurosurgery. 1997;87:825–829. doi: 10.3171/jns.1997.87.6.0825. [DOI] [PubMed] [Google Scholar]
- 20.Klein G.E., Szolar D.H., Raith J., Fruhwirth H., Proscher O., Housegger K.A. Post-traumatic extracranial aneurysm of the internal carotid artery; combined endovascular treatment with coil and stents. Am J Neuroradiol. 1997;18:1261–1264. [PMC free article] [PubMed] [Google Scholar]
- 21.Diaz-Daza O., Arraiza F. J., Barkley J. M., Whigham C. J. Cardiovascular Intervention. 2003;26:13–221. doi: 10.1007/s00270-002-2619-0. [DOI] [PubMed] [Google Scholar]
- 22.Kato N., Deke M.D., Miller D.C., Semba C.P. Traumatic thoracic aortic aneurysm: Treatment with endovascular stent-grafts. Radiology. 1997;205:657–662. doi: 10.1148/radiology.205.3.9393517. [DOI] [PubMed] [Google Scholar]
- 23.Yetkin U., Surbuza Post traumatic pseudoaneurysm of brachial artery and it’s surgical treatment. Text Heart International Journal. 2003;30(4):293–297. [PMC free article] [PubMed] [Google Scholar]
- 24.Kruger K., Cerff B., Cocknerk Successful treatment of post traumatic aneurysm spurium by u/s guided per cutaneous thrombin injection. Rofo. 2003;175(12):1728–1729. doi: 10.1055/s-2003-45326. [DOI] [PubMed] [Google Scholar]
- 25.Courtheoux P., Grearnieri J., Theron J. Endovascular treatment of a cervical vertebral artery pseudoaneurysm using covered stents: 1 case report. Journal of Neuroradiol. 2003;30(2):109–114. [PubMed] [Google Scholar]