Skip to main content
SpringerLink
Log in

Impending Rupture of Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess

  • Clinical Brief
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Extracranial carotid artery aneurysms are rare but important entity. Impending rupture of such aneurysms can lead to catastrophic hemorrhage, airway compromise and may prove fatal. The authors report a case of true aneurysm of cervical internal carotid artery in a four-year-old girl who presented with fever and swelling of neck and oropharynx. High clinical suspicion is required to differentiate aneurysm from peritonsillar and parapharyngeal abscess as incision and drainage can prove fatal. Securing airway beforehand and timely embolization has led to the favorable outcome in the present case.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Cabrera CE, Deutsch ES, Eppes S, et al. Increased incidence of head and neck abcesses in children. Otolayngol Head Neck Surg. 2007;136:176–81.

    Article  Google Scholar 

  2. Pourhassan S, Grotemeyer D, Fokou M, et al. Extracranial carotid arteries aneurysms in children, single center experience in 4 patients and review of the literature. J Pediatr Surg. 2007;42:1961–8.

    Article  Google Scholar 

  3. Beall AC, Crawford ES, Cooley DA, DeBakey ME. Extracranial aneurysms of the carotid artery: report of seven cases. Postgrad Med. 1962;32:93–102.

    Article  Google Scholar 

  4. McCollum CH, Wheeler WG, Noon GP, DeBakey ME. Aneurysms of the extracranial carotid artery: twenty-one years’ experience. Am J Surg. 1979;137:196–200.

    Article  CAS  Google Scholar 

  5. El-Sabrout R, Cooley DA. Extracranial carotid artery aneurysms: Texas heart institute experience. J Vasc Surg. 2000;31:702–12.

    Article  CAS  Google Scholar 

  6. Cinar B, Fazlıogulları O, Goksel O. True aneurysm of extracranial internal carotid artery in a 10-year-old. Eur J Vasc Endovasc Surg. 2006;32:386–8.

    Article  CAS  Google Scholar 

  7. Edwards J, Carroll M, Wooster M, Shames M. True extracranial carotid artery aneurysm in a child. J Vasc Surg. 2015;1:110–2.

    Google Scholar 

  8. Pearson SE, Choi SS. Pseudoaneurysm of the internal carotid artery: a case report and review of the literature. Arch Otolaryngol Head Neck Surg. 2005;131:454–6.

    Article  Google Scholar 

  9. Winslow N. Extracranial aneurysm of the internal carotid artery: history of the cases registered up to Aug. 1, 1925. Arch Surg. 1926;13:689–729.

    Article  Google Scholar 

  10. Zhou W, Lin PH, Bush RL, et al. Carotid artery aneurysm: evolution of management over two decades. J Vasc Surg. 2006;43:493–6.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of ENT, Maulana Azad Medical College and Associated Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi, 110002, India

    Poonam Sagar, Arif Kavungal Nambillath & Vikas Malhotra

  2. Department of Cardiology, Dr. Ram Manohar Lohia Hospital, New Delhi, India

    Ajay Raj

  3. Department of ENT, Hindu Rao Hospital & North DMC Medical College, New Delhi, India

    Abhay Anand

Authors
  1. Poonam Sagar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Arif Kavungal Nambillath
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vikas Malhotra
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ajay Raj
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Abhay Anand
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

PS: Concept & drafted the manuscript; AKN: Helped in drafting the manuscript; VM and AR: Reviewed the manuscript; AA: Helped in concept and content of the manuscript. VM will act as guarantor for this paper.

Corresponding author

Correspondence to Poonam Sagar.

Ethics declarations

Conflict of Interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sagar, P., Nambillath, A.K., Malhotra, V. et al. Impending Rupture of Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess. Indian J Pediatr 85, 911–913 (2018). https://doi.org/10.1007/s12098-018-2655-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-018-2655-7

Keywords

Search

Navigation