Abstract
This paper deals with a case of pseudoaneurysm of the neck associated with von Recklinghausen disease. A 60-year-old man seen at the emergency clinic in our hospital because of left shoulder pain and a swelling on the left side of the neck. Close examinations revealed spontaneous rupture of a branch from the left subclavian artery and a pseudoaneurysm of the neck. An emergency operation was performed. At operation, the left thyrocervical trunk was almost dissected at its root and a formation of pseudoaneurysm at the site was observed. The thyrocervical trunk was ligated at the root which led to a successful hemostasis. Postoperative course was uneventful. There has been no re-bleeding for 2 years and 2 months after the operation. Sometimes von Recklinghausen disease is associated with vascular lesions, however, it rarely causes aneurysms or spontaneous rupture of arteries. So far, only 17 cases of aneurysm and 18 cases of spontaneous rupture of arteries have been reported in the Japanese literature.
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