POST TRAUMATIC INTERNAL CAROTID ARTERY PSEUDOANEURYSM MASQUERADING AS A SPHENOETHMOIDAL POLYP: A CASE REPORT

DR KUMKUM BORA; DR ARNAB KALITA

Volume : VIII, Issue : VII, July - 2019

POST TRAUMATIC INTERNAL CAROTID ARTERY PSEUDOANEURYSM MASQUERADING AS A SPHENOETHMOIDAL POLYP: A CASE REPORT

Dr Kumkum Bora, Dr Arnab Kalita

Abstract :

Pseudoaneurysm of the internal carotid artery is a rare complication after blunt craniofacial trauma. Delayed recurrent epistaxis is the most distinctive manifestation of traumatic internal carotid artery pseudoaneurysm. This paper describes a 32 year old male patient with traumatic pseudoaneurysm of the internal carotid artery mimicking a sphenoethmoidal polyp. During subsequent endoscopic sinus surgery while attempting to remove the polyp, massive bleeding occurred and surgery had to be curtailed. Thereafter CT angiography and digital subtraction angiography was done which revealed left sided internal carotid artery pseudoaneurysm over its cavernous segment. The patient underwent successful endovascular stenting without any complications and is doing well after 6 months of procedure and on regular follow–up.