Iatrogenic life-threatening pseudoaneurysms of extracranial internal carotid artery after fine-needle aspiration of cervical lymph nodes: report of two cases in children.
Two children younger than 10 sought care for large, tense pulsatile swelling in the neck after fine-needle aspiration of cervical lymph nodes that resulted in severe respiratory distress. Computed tomographic angiography confirmed the presence of large pseudoaneurysms that caused a mass effect, leading to compression of surrounding vessels and airway. Pseudoaneurysms were successfully treated by coil embolization in one patient and surgical ligation of the internal carotid artery in the other.
Singhal
Manphool
M
Department of Radiodiagnosis and Interventional Radiology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India. drmsinghal@yahoo.com
Gupta
Vivek
V
Singh
Paramjeet
P
Lal
Anupam
A
Behra
Arunanshu
A
Khandelwal
Niranjan
N
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D000792:Angiography; D044963:Biopsy, Fine-Needle / Q000009:adverse effects*; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D002648:Child; D006801:Humans; D007049:Iatrogenic Disease; D007223:Infant; D008297:Male; D009333:Neck / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis*