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Mycotic pseudo-aneurysm of the extracranial carotid artery
J Desimpelaere1, P Seynaeve, M Kockx
1Department of Radiology, Middelheim Hospital, Antwerp, Belgium.
Abstract:
A rare case of mycotic pseudo-aneurysm of the common carotid artery as a complication in an immunosuppressed paediatric patient is presented. Treatment of pseudo-aneurysms of the common carotid artery is generally considered to be an emergency, necessitating quick and accurate diagnosis. In patients with septicemia, angiography has to be avoided. We were able to provide the surgeon with the exact diagnosis and accurate topographical information with helical CT with 3D reformation.
Insights
A rare fungal infection caused a mycotic pseudo-aneurysm in a child's common carotid artery. Helical CT with 3D reformation provided a crucial, non-invasive diagnosis for prompt surgical intervention.
Area of Science:
- Vascular Surgery
- Pediatric Radiology
- Infectious Diseases
Background:
- Mycotic pseudo-aneurysms are rare but life-threatening vascular complications.
- Immunosuppressed pediatric patients are at increased risk for such infections.
- Prompt diagnosis and intervention are critical for managing common carotid artery pseudo-aneurysms.
Observation:
- A case of mycotic pseudo-aneurysm of the common carotid artery in an immunosuppressed child is presented.
- The patient had septicemia, making conventional angiography contraindicated.
- Helical CT with 3D reformation was utilized for diagnosis.
Findings:
- Helical CT with 3D reformation accurately diagnosed the mycotic pseudo-aneurysm.
- The imaging provided precise topographical information essential for surgical planning.
- This technique offered a non-invasive alternative to angiography in a septic patient.
Implications:
- Helical CT with 3D reformation is a valuable tool for diagnosing vascular emergencies in pediatric patients, especially when angiography is contraindicated.
- This case highlights the importance of considering rare complications like mycotic pseudo-aneurysms in immunosuppressed children.
- Advanced imaging techniques can significantly improve diagnostic accuracy and patient outcomes in complex pediatric cases.