A giant pseudoaneurysm mimicking a parapharyngeal abscess

Tucciarone, Manuel; Elvira Ruiz, Pascual; González-Orus Álvarez-Morujo, Ricardo José

doi:10.1016/j.otoeng.2019.08.007

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On examination, she presented a moderate swelling of the posterior wall of the oropharynx with medialization of the ipsilateral tonsil (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). On palpation, the swelling was hard and pulsatile. A CT scan of the neck with contrast was performed showing a giant pseudoaneurysm of the left internal carotid artery, partially thrombosed, produced after spontaneous artery dissection (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The patient underwent angiography, confirming the diagnosis, (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>) with a good cross flow at the occlusion test and the artery was definitively occluded. The patient didn’t develop any neurological deficit during or after the procedure. This case shows the importance of meticulous exploration during the management of infectious cervical disease in order to avoid lethal complications, and the requirement of multidisciplinary teamwork to obtain the best results for the patient.<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia>Conflicts of interestThe authors declared no conflicts of interest with respect to the authorship and/or publication of this article." 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ISSN: 2173-5735

Acta Otorrinolaringológica Española, the official publication of the Spanish Society of Otolaryngology and Head and Neck Surgery and the Ibero-American Society of Otorhinolaryngology, is the most important journal in Spanish dedicated to Otorhinolaryngology, which reflects the continuous scientific and technical progress of the specialty. It has become an important tool to be kept up to date. The Journal publishes Original Articles (articles on basic research and clinical investigation), reviews, brief communications, case studies and images, which are subjected to a rigorous peer review process.

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