Ultrasound diagnosis of an internal carotid artery pseudoaneurysm in a young child.
Pseudoaneurysm of the carotid artery is a rare complication of deep neck space infection. It carries a high mortality rate even when treated appropriately. We report a case of a pseudoaneurysm of the internal carotid artery in a 2-year-old child who had a neck infection without an associated abscess. The diagnosis was not obvious on MRI but was confirmed by ultrasonography. This was successfully managed by angiographic embolization, followed by antibiotic and anticoagulant treatment. The combination of MRI and ultrasonography, without the use of invasive or radiation techniques, was sufficient for the diagnosis of pseudoaneurysm of the internal carotid artery.
Biron
Adi
A
Department of Otolaryngology, Royal Children's Hospital, Flemington Road, Parkville, Melbourne, Vic. 3052, Australia.
Berkowitz
Robert G
RG
Bekhit
Elhamy K
EK
Rose
Elizabeth A McI
EA
D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging* / Q000187:drug effects / Q000382:microbiology; D002675:Child, Preschool; D004359:Drug Therapy, Combination; D006801:Humans; D007239:Infections / Q000150:complications*; D008297:Male; D009333:Neck / Q000382:microbiology*; D016896:Treatment Outcome; D014463:Ultrasonography
D000900:Anti-Bacterial Agents; D000925:Anticoagulants