Abstract
Ear, nose and throat infections are common, especially in children and young adults. Since the advent of antibiotics, complications from tonsillitis and pharyngeal abscess are rare, but potentially lethal. Vascular complications can be imaged with Doppler ultrasound and CT scan. The treatment of infectious vascular complications represents a significant challenge. We describe the case of a young girl presenting with a pseudoaneurysm of the internal carotid and thrombosis of the internal jugular vein. Endovascular therapy was utilized to treat the patient.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Watson MG, Robertson AS, Colquhoun IR (1991) Pseudoaneurysm of internal carotid artery: a forgotten complication of tonsillitis? J Laryngol Otol 105:588–590
Reisner A, Marshall GS, Bryant K, et al (1999) Endovascular occlusion of a carotid pseudoaneurysm complicating deep neck space infection in a child. J Neurosurg 91:510–514
Stevens HE (1990) Vascular complication of neck space infection: case report and literature review. J Otolaryngol 19:206–210
Lueg EA, Awerbuck D, Forte V (1995) Ligation of the common carotid artery for the management of a mycotic pseudoaneurysm of an extracranial internal carotid artery. A case report and review of the literature. Int J Pediatr Otorhinolaryngol 33:67–74
Liston R (1843) On a variety of false aneurysms. Br Foreign Med Rev 15:155–161
Salinger S, Pearlman SJ (1933) Hemorrhage from pharyngeal and peritonsillar abscesses. Report of cases, résumé of literature and discussion of the ligation of the carotid artery. Arch Otolaryngol 18:464–509
Braun IF, Battey PM, Fulenwider JT, et al (1986) Transcatheter carotid occlusion: an alternative to the surgical treatment of cervical carotid aneurysms. J Vasc Surg 4:299–302
Garino JP, Ryan TJ (1987) Carotid hemorrhage: a complication of peritonsillar abscess. Am J Emerg Med 5:220–223
Beasley DJ, Amedee R (1995) Deep neck space infections. J La State Med Soc 147:181–184
Blum DJ, McCaffrey TV (1983) Septic necrosis of the internal carotid artery: a complication of peritonsillar abscess. Otolaryngol Head Neck Surg 91:114–118
Karas DE, Sawin RS, Sie KC (1997) Pseudoaneurysm of the external carotid artery after tonsillectomy. A rare complication. Arch Otolaryngol Head Neck Surg 123:345–347
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Brochu, B., Dubois, J., Garel, L. et al. Complications of ENT infections: pseudoaneurysm of the internal carotid artery. Pediatr Radiol 34, 417–420 (2004). https://doi.org/10.1007/s00247-003-1036-0
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-003-1036-0