Abstract
Carotid artery pseudoaneurysm is a rare condition, particularly in the paediatric population. Only about 30 cases of carotid artery aneurysms in infants have been published until now. This paper reports the case of a giant pseudoaneurysm of the left common carotid artery due to swallowed fish bone by an 8-year-old boy. This pseudoaneurysm was 5.5 cm transverse-diameter and resulted in severe respiratory distress. It was treated by resection and end-to-end anastomosis with satisfactory outcome after one-year follow-up. To the best of our knowledge, this is the largest carotid artery pseudoaneurysm ever described in children.
Highlights
Cervical masses in infants are frequent during routine clinical practice
We report the case of an 8-year-old boy with no particular past history who underwent imaging for a suspected giant pseudoaneurysm of the left common carotid artery
They generally are caused by direct arterial injury, which may result from trauma, vascular diagnostic or interventional procedures, adenotonsillectomy, and, in a lesser extent, deep infections [12]
Summary
Cervical masses in infants are frequent during routine clinical practice They are usually congenital or of infectious origin and are often due to benign adenitis [1,2,3]. Vascular abnormalities, such as extracranial carotid aneurysms, are very uncommon. We report the case of an 8-year-old boy with no particular past history who underwent imaging for a suspected giant pseudoaneurysm of the left common carotid artery. This case is peculiar because of the exceptional aetiology which was the ingestion of an unnoticed fish bone
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