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Traumatic pseudoaneurysm of the pharyngeal artery: an unusual cause of hematemesis and hematochezia after craniofacial trauma

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Author(s)
Chang-Young LeeMan-Bin YimGoetz Benndorf
Keimyung Author(s)
Lee, Chang YoungYim, Man Bin
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
Surgical Neurology
Issued Date
2006
Volume
66
Issue
4
Keyword
Traumatic pseudoaneurysmPharyngeal arteryHematemesis and hematocheziaIntravascular embolization
Abstract
Background: Traumatic aneurysms of the internal maxillary artery are extremely rare. We report a
case of traumatic pseudoaneurysm of the pharyngeal artery, a branch of the internal maxillary artery,
presenting with hematemesis and hematochezia.
Case Description: An 18-year-old man presented with deep drowsy consciousness after a motor
vehicle accident, in which he had a severe craniofacial injury. Three days later, he had hematemesis and
hematochezia with a marked decrease in circulating hemoglobin level. External carotid arteriography
performed to rule out vascular injury revealed active leakage from a false aneurysm of the pharyngeal
artery. The lesion was successfully obliterated by superselective endovascular embolization.
Conclusions: In patients with craniofacial injury associated with multiple traumas, traumatic
pseudoaneurysm of the pharyngeal artery should be suspected as one of the possible causes of
hematemesis and hematochezia. Selective endovascular embolization with cerebral angiography is
an effective modality for the treatment and diagnosis of this leison.
D 2006 Elsevier Inc. All rights reserved.
Keywords: Traumatic pseudoaneurysm; Pharyngeal artery; Hematemesis and hematochezia; Intravascular embolization
Keimyung Author(s)(Kor)
이창영
임만빈
Publisher
School of Medicine
Citation
Chang-Young Lee et al. (2006). Traumatic pseudoaneurysm of the pharyngeal artery: an unusual cause
of hematemesis and hematochezia after craniofacial trauma. Surgical Neurology, 66(4), 444–446. doi: 10.1016/j.surneu.2005.12.034
Type
Article
ISSN
0090-3019
Source
https://www.sciencedirect.com/science/article/pii/S0090301906001078?via%3Dihub
DOI
10.1016/j.surneu.2005.12.034
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34453
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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