An unusual case of common carotid artery pseudoaneurysm caused by migration of swallowed sewing needle

Received: February 10, 2013
Accepted: October 21, 2013
Ref: Sanap G, Naiknaware K, Taori K, Bhaya A. An unusual case of common carotid artery pseudoaneurysm caused by migration of swallowed sewing needle. Internet J Med Update. 2014;9(1):45-49.

Ganesh Sanap*, Kiran Naiknaware**, Kishor Taori** and Anil Bhaya*

*Apple Hospital and Research institute, Shahupuri, Kolhapur, Maharashtra, India
**Department of Radiodiagnosis, Government Medical College, Nagpur, Maharashtra, India

(Corresponding Author: Dr. Ganesh Sanap, Resident, Apple hospital and research Institute, E ward, Shahupuri, Kolhapur, Maharashtra, India; Cell: +919823962823; Email: drganeshsanap1009@gmail.com)

ABSTRACT

Common carotid artery (CCA) pseuoaneurysms are most commonly a result of traumatic injuries. CCA pseudoaneurysm due to migration of ingested foreign body is an unusual occurrence. Here we report a case of a 50-year-old female who presented with a pulsatile swelling in the right lower neck for 2 months. Ultrasonography (USG) and Computed Tomography Angiography (CTA) of neck revealed a large partially thrombosed pseudoaneurysm involving the right common carotid artery. Sewing needle (metallic foreign body) was noted within the thrombosed portion of the pseudoaneurysm and was successfully removed at surgery followed by repair of the pseudoaneurysm.

KEY WORDS: Pseudoaneurysm; Metallic foreign body; CT angiography; PTFE graft

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