A Case of Carotid Artery Pseudoaneurysm Misdiagnosed as Aggravation of Non-tuberculous Mycobacterial Lymphadenitis |
Woong Jae Noh;Hyoung Shin Lee;Sung won Kim;Kang Dae Lee |
비정형 결핵성 림프절염의 악화로 오인된 경동맥 가성동맥류 1예 |
노웅재;이형신;김성원;이강대 |
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Abstract |
An 81 year-old male patient presented with rapid enlargement of left lateral neck mass, diagnosed two months earlier as cervical nontuberculous mycobacterial lymphadenitis. Abscess formation and impending rupture related to aggravation of nontuberculous mycobacterial lymphadenitis was highly suspected. Unexpectedly, blood flow was detected by Doppler ultrasonography, which indicated possible vascular mass. Computed tomography demonstrated a 6.0 cm x 4.0 cm sized enhancing mass consistent with pseudoaneurysm of internal carotid artery. The patient underwent pseudoaneurysmectomy. Surgical drainage without adequate evaluation might have led to potentially life-threatening condition. We describe this rare case with importance of imaging screening in a neck mass. |
Key Words:
Pseudoaneurysm, Carotid artery, Non-tuberculous mycobacterial lymphadenitis |