The Indian Journal of Pediatrics

, Volume 85, Issue 10, pp 911–913 | Cite as

Impending Rupture of Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess

  • Poonam SagarEmail author
  • Arif Kavungal Nambillath
  • Vikas Malhotra
  • Ajay Raj
  • Abhay Anand
Clinical Brief


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.


Carotid artery Aneurysm Peritonsillar abscess Neck 



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.

Compliance with Ethical Standards

Conflict of Interest



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Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  • Poonam Sagar
    • 1
    Email author
  • Arif Kavungal Nambillath
    • 1
  • Vikas Malhotra
    • 1
  • Ajay Raj
    • 2
  • Abhay Anand
    • 3
  1. 1.Department of ENTMaulana Azad Medical College and Associated Lok Nayak HospitalNew DelhiIndia
  2. 2.Department of CardiologyDr. Ram Manohar Lohia HospitalNew DelhiIndia
  3. 3.Department of ENTHindu Rao Hospital & North DMC Medical CollegeNew DelhiIndia

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