Delayed Presentation of an Extracranial Internal Carotid Artery Pseudoaneurysm and Massive Epistaxis Secondary to a Nasal Foreign Body: Case Report and Review of the Literature Journal Article

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Authors: Katsevman, G. A.; Braca, J. A., 3rd; Welch, K. C.; Ashley, W. W., Jr
Article Title: Delayed Presentation of an Extracranial Internal Carotid Artery Pseudoaneurysm and Massive Epistaxis Secondary to a Nasal Foreign Body: Case Report and Review of the Literature
Abstract: BACKGROUND: Epistaxis is a very common medical condition and can often be controlled with conservative measures. Rarely, uncontrolled and life-threatening epistaxis can occur. CASE DESCRIPTION: We present the case of a 58-year-old man who developed delayed, massive epistaxis caused by an extracranial left internal carotid artery pseudoaneurysm caused by an intranasal foreign object without apparent recent trauma. The patient was successfully treated with endovascular stenting of the affected vessel segment. CONCLUSIONS: Massive epistaxis is a potentially lethal condition. Although the source uncommonly originates from the internal carotid artery, pseudoaneurysm rupture needs to be considered on the differential diagnosis in selected patients. This case illustrates the need for vigilance for the presence of foreign objects and/or vessel injuries in the setting of acute, massive epistaxis. Additionally, we describe treatment options and review the literature.
Journal Title: World neurosurgery
ISSN: 1878-8769; 1878-8750
Publisher: Elsevier Inc  
Date Published: 2016
Language: ENG
DOI/URL:

S1878-8750(16)30292-3
Notes: LR: 20160613; CI: Copyright (c) 2016; JID: 101528275; OTO: NOTNLM; 2016/02/17 [received]; 2016/05/08 [revised]; 2016/05/09 [accepted]; aheadofprint