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Right internal carotid pseudoaneurysm mimicking a retropharyngeal abscess in a child

N N A Lee1, G Long, S Ngai

  • 1Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

The Medical Journal of Malaysia
|May 14, 2005
PubMed

Insights

A rare case of internal carotid artery pseudoaneurysm in a child, initially presenting as a neck lump after tonsillitis, was diagnosed using advanced imaging techniques. This highlights the importance of imaging in identifying unusual vascular complications.

Area of Science:

  • Vascular Surgery
  • Pediatric Radiology
  • Infectious Disease

Background:

  • Tonsillar infections can rarely lead to serious complications.
  • Internal carotid artery pseudoaneurysms are uncommon, particularly in pediatric patients.
  • Early diagnosis and management are crucial for preventing severe outcomes.

Observation:

  • A 7-year-old girl developed a neck mass two weeks after a tonsillar infection.
  • Computed tomography (CT) revealed a retropharyngeal mass with enhancement near the internal carotid artery.
  • Ultrasound and magnetic resonance imaging (MRI) confirmed a right internal carotid artery pseudoaneurysm.

Findings:

  • The pseudoaneurysm was associated with the right internal carotid artery, adjacent to a retropharyngeal lesion.
  • Advanced imaging, including MRI arteriography, was essential for accurate diagnosis.
  • Surgical exploration confirmed the presence of the pseudoaneurysm.

Implications:

  • This case underscores the potential for unusual vascular complications following common infections.
  • It emphasizes the diagnostic utility of multimodal imaging in pediatric vascular emergencies.
  • Recognizing such presentations is vital for timely surgical intervention and improved patient outcomes.

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