Common carotid artery pseudoaneurysm after neck dissection: colour Doppler ultrasound and multidetector computed tomography findings.
Common carotid artery pseudoaneurysm is a rare disease, which has been previously unreported in association with neck dissection. We describe the Doppler ultrasound and multidetector computed tomography (CT) findings of a case of carotid pseudoaneurysm, one month after pharyngolaryngectomy with bilateral neck dissection. Multidetector CT confirmed the diagnosis made on the basis of Doppler ultrasound; the high image quality of axial and three-dimensional reconstructions avoided the need for pre-operative conventional angiography. In the presence of a pulsatile cervical mass after neck surgery, pseudoaneurysm of the carotid artery should be included in the differential diagnosis, and multidetector CT can be the sole pre-operative diagnostic imaging modality.
Flor
N
N
Department of Diagnostic and Interventional Radiology, University of Milan School of Medicine, San Paolo Hospital, San Donato Milanese, Milan Italy. flornic@hotmail.com
Sardanelli
F
F
Ghilardi
G
G
Tentori
A
A
Franceschelli
G
G
Felisati
G
G
Cornalba
G P
GP
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis*; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000601:surgery; D002340:Carotid Artery Diseases / Q000175:diagnosis* / Q000209:etiology; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D007822:Laryngeal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D037981:Neck Dissection; D009378:Neoplasms, Multiple Primary / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology; D014057:Tomography, X-Ray Computed / Q000379:methods; D018615:Ultrasonography, Doppler, Color