title: Massive carotid artery aneurysm presenting as an oropharyngeal swelling in a young woman.
abstract: A 28-year-old woman presented to the emergency department with a 5-day history of a sore throat and a pharyngeal swelling that increased in size. The patient was previously investigated for Marfan's syndrome after episodes of bilateral spontaneous pneumothoraces but did not meet the criteria for diagnosis. Examination revealed a large pulsatile lesion in the oropharynx. CT angiography revealed an internal carotid artery aneurysm. The patient underwent a successful urgent open repair of the aneurysm with a primary arterio-arterial anastomosis without a patch. Histopathology of the aneurysmal sac revealed cystic medial degeneration.
authors: Department of Surgery, Mercy University Hospital, Cork, Ireland.
authors: Kah Hoong
authors: KH
authors: Chang
authors: Department of Surgery, Mercy University Hospital, Cork, Ireland.
authors: James
authors: J
authors: Cotter
authors: Department of Surgery, Mercy University Hospital, Cork, Ireland.
authors: Gerald Thomas
authors: GT
authors: McGreal
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002340:Carotid Artery Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002343:Carotid Artery, Internal; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology*; D005260:Female; D006801:Humans; D019547:Neck Pain / Q000209:etiology; D009960:Oropharynx; D010612:Pharyngitis / Q000209:etiology; D016896:Treatment Outcome
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