Document Detail

Melaena: an unusual presentation of a pseudoaneurysm of the internal carotid artery.
MedLine Citation:
PMID:  19037532     Owner:  NLM     Status:  MEDLINE    
Pseudoaneurysm of the internal carotid artery is a rare but potentially fatal condition, and its clinical manifestations are often varied. Knowledge of this condition is essential to making the diagnosis. We describe a case of a 38-year-old man who presented with melaena. He also reported blood-stained sputum in the morning for several days. The only significant physical finding was a left peritonsillar mass. Initially worked up for a gastrointestinal bleed, computed tomography of the neck showed a large pseudoaneurysm of the internal carotid artery. A bypass from the proximal external carotid artery to the distal middle cerebral artery had to be created prior to angiographic embolisation of the pseudoaneurysm due to an inadequate supply from the contralateral cerebral hemisphere. The patient made an uneventful recovery with no neurological deficits.
V K Tan; H H Tan; Y K Ong; S G Tan
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  49     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-27     Completed Date:  2009-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  e296-9     Citation Subset:  IM    
Department of General Surgery, Singapore General Hospital, Outram Road, Singapore.
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MeSH Terms
Aneurysm, False / diagnosis*,  radiography,  surgery
Carotid Artery, Internal / pathology*,  radiography,  surgery
Cerebral Angiography / methods
Diagnosis, Differential
Embolization, Therapeutic
Melena / diagnosis*,  radiography,  surgery
Tomography, X-Ray Computed
Treatment Outcome

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