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Post-traumatic pseudoaneurysm of the thyrocervical trunk.
Kaushal Mehta1, Eric England, Josh Apgar
1Department of Radiology, University of Cincinnati College of Medicine, 234 Goodman Street, ML 0761, Cincinnati, OH 45267-0761, USA. kaushal.mehta@uchealth.com
Skeletal Radiology
|April 17, 2013
Summary
This study details a rare thyrocervical trunk pseudoaneurysm, diagnosed via magnetic resonance (MR) imaging after blunt trauma. The lesion was successfully treated using ultrasound-guided percutaneous thrombin injection, a novel approach for this condition.
Area of Science:
- Vascular Surgery
- Radiology
- Interventional Radiology
Background:
- Pseudoaneurysms of the thyrocervical trunk are exceptionally rare vascular lesions.
- They are typically associated with penetrating trauma or iatrogenic causes.
- Previous literature documents only two instances of pseudoaneurysm formation following blunt trauma.
Observation:
- A 56-year-old male presented with a gradually enlarging neck mass following a motor vehicle collision.
- Magnetic resonance (MR) imaging was employed to investigate the etiology of the mass.
- The MR examination successfully identified a pseudoaneurysm of the thyrocervical trunk.
Findings:
- This case represents the first reported instance of a pseudoaneurysm of the thyrocervical trunk originating from blunt trauma.
- MR imaging provided an accurate diagnosis of the rare vascular lesion.
- The pseudoaneurysm was effectively treated using ultrasound-guided percutaneous thrombin injection.
Implications:
- This successful treatment demonstrates the efficacy of minimally invasive ultrasound-guided percutaneous thrombin injection for thyrocervical trunk pseudoaneurysms.
- The findings suggest that MR imaging is a valuable diagnostic tool for these rare injuries.
- This case expands the treatment options for rare vascular injuries in the head and neck region.
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