A case of petrous carotid artery pseudoaneurysm presenting with epistaxis after radiotherapy in a patient with nasopharyngeal cancer / 대한내과학회지
Korean Journal of Medicine
;
: 252-256, 2010.
Article
in Korean
| WPRIM
| ID: wpr-121798
ABSTRACT
Rupture of an internal carotid artery pseudoaneurysm is a rare but lethal complication in patients with nasopharyngeal cancer. Here, we report a case of severe nasal bleeding from a left petrous internal carotid artery aneurysm after chemoradiotherapy in a patient with nasopharyngeal cancer. A 76-year-old man who was being treated with concurrent chemoradiotherapy and who had achieved a complete response for 14 months developed massive epistaxis . A postnasal space computed tomography scan showed an enhanced nodular lesion at the left petrous internal carotid artery, and angiography revealed a pseudoaneurysm measuring 11.5x9.1 mm in the left internal carotid artery. Bleeding was well controlled with endovascular occlusion using a coil. The patient showed no recurrence of bleeding during follow-up.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Angiography
/
Carotid Arteries
/
Carotid Artery, Internal
/
Epistaxis
/
Nasopharyngeal Neoplasms
/
Follow-Up Studies
/
Aneurysm, False
/
Chemoradiotherapy
/
Hemorrhage
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2010
Type:
Article
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