편도주위농양으로 오인된 내경동맥류 1예
A Case of Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess
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Extracranial carotid artery aneurysm is an uncommon disease that otorhinolaryngologistsmay encounter only rarely. It usually presents as pulsatile neck mass or as other neurologicsymptoms. We report a case of extracranial internal carotid artery aneurysm in an 81-year oldfemale who presented with a fever and nonpulsatile oropharyngeal swelling mimicking a peritonsillarabscess. Incision and drainage of the swelling lesion could have resulted in catastrophicevents such as aneurismal rupture or a stroke. We thus recommend radiologic evaluationsof peritonsillar abscess before performing any procedure, even if it is clinically highlysuspicious.
Abstract
Extracranial carotid artery aneurysm is an uncommon disease that otorhinolaryngologistsmay encounter only rarely. It usually presents as pulsatile neck mass or as other neurologicsymptoms. We report a case of extracranial internal carotid artery aneurysm in an 81-year oldfemale who presented with a fever and nonpulsatile oropharyngeal swelling mimicking a peritonsillarabscess. Incision and drainage of the swelling lesion could have resulted in catastrophicevents such as aneurismal rupture or a stroke. We thus recommend radiologic evaluationsof peritonsillar abscess before performing any procedure, even if it is clinically highlysuspicious.
참고문헌 (24)
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