Abstract
Vascular abnormalities are rare but recognised manifestation of type I neurofibromatosis. Only a few cases of thyrocervical trunk aneurysms have been reported in the literature in which rupture presented as neck swelling or haemothorax. We present an exceptional case of a life-threatening neck swelling in a patient with type I neurofibromatosis who previously had radical reconstructive neck surgery. An emergency angiogram revealed ruptured thyrocervical trunk aneurysm. Due to the complicated soft tissue condition, interventional management was indicated and the bleeding was treated successfully with endovascular coil embolisation. Subsequently, the neck haematoma was surgically evacuated.
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