Document Detail

Traumatic pseudoaneurysm of the pharyngeal artery: An unusual cause of hematemesis and hematochezia after craniofacial trauma.
MedLine Citation:
PMID:  17015139     Owner:  NLM     Status:  MEDLINE    
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 lesion.
Chang-Young Lee; Man-Bin Yim; Goetz Benndorf
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-07-21
Journal Detail:
Title:  Surgical neurology     Volume:  66     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-03     Completed Date:  2006-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  444-6; discussion 446     Citation Subset:  IM    
Department of Neurosurgery, Keimyung University School of Medicine, Daegu 700-712, South Korea.
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MeSH Terms
Accidents, Traffic
Aneurysm, False / etiology*,  physiopathology,  radiography
Cerebral Angiography
Consciousness Disorders / etiology
Craniocerebral Trauma / complications*,  physiopathology,  radiography
Embolization, Therapeutic
Gastrointestinal Hemorrhage / etiology*,  physiopathology
Hematemesis / etiology*,  physiopathology
Maxillary Artery / injuries*,  physiopathology,  radiography
Pharynx / blood supply*,  physiopathology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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