A case of petrous carotid artery pseudoaneurysm presenting with epistaxis after radiotherapy in a patient with nasopharyngeal cancer.
- Author:
Su Jin LEE
1
;
Hee Kyung AHN
;
Su A KIM
;
Keon Ha KIM
;
Young Chan AHN
;
Keunchil PARK
;
Myung Ju AHN
Author Information
1. Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. silk.ahn@samsung.com
- Publication Type:Case Report
- Keywords:
ICA pseudoaneurysm;
Radiotherapy;
Nasopharyngeal cancer
- MeSH:
Aged;
Aneurysm;
Aneurysm, False;
Angiography;
Carotid Arteries;
Carotid Artery, Internal;
Chemoradiotherapy;
Epistaxis;
Follow-Up Studies;
Hemorrhage;
Humans;
Nasopharyngeal Neoplasms;
Recurrence
- From:Korean Journal of Medicine
2010;78(2):252-256
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Rupture of an internal carotid artery pseudoaneurysm is a rare but lethal complication in patients with nasopharyngeal cancer. Here, we report a case of severe nasal bleeding from a left petrous internal carotid artery aneurysm after chemoradiotherapy in a patient with nasopharyngeal cancer. A 76-year-old man who was being treated with concurrent chemoradiotherapy and who had achieved a complete response for 14 months developed massive epistaxis . A postnasal space computed tomography scan showed an enhanced nodular lesion at the left petrous internal carotid artery, and angiography revealed a pseudoaneurysm measuring 11.5x9.1 mm in the left internal carotid artery. Bleeding was well controlled with endovascular occlusion using a coil. The patient showed no recurrence of bleeding during follow-up.
