DOI: 10.36347/sjams.2013.v01i06.007

Pages: 684-689

Pseudoaneurysms of extra cranial carotid artery are rare and are most commonly associated with blunt or penetrating trauma. Other cause includes iatrogenic origin, inflammation, infection, vasculitis, tumor, and arteriosclerosis. Pseudoaneurysm of ICA at the extracranial segment is a rare complication of neck infections. The treatment of carotid artery mycotic pseudoaneurysm is complex. The typical management of an mycotic pseudoaneurysm is twofold: systemic antibiotic therapy and surgery, with either a traditional by-pass or a ligation of ICA. Endovascular therapy of a non-infected and infected carotid artery pseudoaneurysm has been increasingly used, with this treatment the ICA lumen may be better preserved. We report a case of 11 yr old male who presented with massive haematemesis from mycotic pseudoaneurysm secondary to tubercular cervical adenitis managed successfully by endovascular coiling.