Abstract
A 5-year-old white boy presented with life-threatening haematemesis from spontaneous rupture of an aneurysm of the high cervical internal carotid artery (ICA). The haemorrhage was controlled by emergency trap ligation of the distal ICA in the neck. The child made an excellent recovery and 7 years later has no neurologic deficit other than an Horner's syndrome. The diagnosis of an extracranial carotid artery aneurysm without a pulsatile lump may be very deceptive.
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Beall AC, Crawford ES, Cooley DA, DeBakey ME (1962) Extracranial aneurysms of the carotid artery. Postgrad Med 32:93–102
Dehn TCB, Taylor GW (1984) Extracranial carotid artery aneurysms. Ann R Coll Surg Engl 66:247–250
Du Toit DF, Van Zyl JA, Laker L, Groenewald JH (1984) Extracranial internal carotid artery aneurysm. S Afr Med J 66:927
Harrison DFN (1954) Two cases of bleeding from the ear from carotid aneurysm. Guy's Hosp Rep 103:207–212
McCollum CH, Wheeler WG, Noon GP, DeBakey ME (1979) Aneurysms of the extracranial carotid artery. Twenty one years experience. Am J Surg 137:196–200
Mokri B, Piepgras DG, Sundt TM Jr, Pearson BW (1982) Extracranial internal carotid aneurysms. Mayo Clin Proc 57:310–321
Packer P (1960) Severe epistaxis due to a leaking extracranial aneurysm of the internal carotid artery. S Afr Med J 34:641–642
Painter TP, Hertzer NR, Beven EG, O'Hara PJ (1985) Extracranial carotid aneurysms: report of six cases and review of the literature. J Vasc Surg 2:312–318
Raphael HA, Bernatz PE, Spittell JA Jr, Ellis FG Jr (1963) Cervical carotid aneurysms: treatment by excision and restoration of arterial continuity. Am J Surg 105:771–778
Razdan AN, Sharma BD, Kak VK (1964) Traumatic aneurysm of the common carotid artery treated by excision and arterial homograft. J Int Coll Surg 42:126–130
Rhodes EL, Stanley JC, Hoffman GL, Cronenwett JL, Fry WJ (1976) Aneurysms of extracranial carotid arteries. Arch Surg 111:339–343
Rittenhouse EA, Radke HM, Sumner DS (1972) Carotid artery aneurysm. Arch Surg 105:786–789
Schechter DC (1979) Cervical carotid aneurysms. NY State J Med 79:892–901
Shea PC, Glass LF, Reid WA, Harland A (1955) Anastomosis of common and internal carotid arteries following excision of mycotic aneurysm. Surgery 37:829–832
Shipley AM, Winslow N, Walker WW (1937) Aneurysm in the cervical portion of the internal carotid artery. Ann Surg 105:673–699
Sundt TM, Pearson BW, Piepgras DG, Wayne Houser O, Mokri B (1986) Surgical management of aneurysms of the distal extracranial internal carotid artery. J Neurosurg 64:169–182
Van Renseburg LCJ (1964) Aneurysm of the internal carotid artery presenting as a peritonsillar abscess. S Afr Med J 38:567–69
Weaver DF, Young DJ (1964) Retropharyngeal hemorrhage from the carotid arteries. Trans Am Laryngol Assoc 85:223–237
Welling RE, Taha A, Goel T, Cranley J, Krause R, Hafner C, Tew J (1983) Extracranial carotid artery aneurysms. Surgery 93:319–323
Wilson JR, Jordan PH (1961) Excision of an internal carotid aneurysm. Ann Surg 154:45–47
Winslow N (1926) Extracranial aneurysm of the internal carotid artery. Arch Surg (Chicago) 13:689–729
Young N (1941) Bleeding from the ear as a sign of leaking aneurysm of the extracranial portion of the internal carotid artery. J Laryngol 56:35–64
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Misra, B.K., Shaw, J.F. Haematemesis from distal extracranial carotid aneurysms. Child's Nerv Syst 2, 329–332 (1986). https://doi.org/10.1007/BF00271951
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DOI: https://doi.org/10.1007/BF00271951