Aetopoulos Ioannis, Antoniades Kostas, Megalopoulos Aggelos
Department of Oral and Maxillofacial Surgery, School of Dentistry, G Papanikolaou General Hospital, Exohi, Thessaloniki, Greece.
J Craniofac Surg. 2013 Jul;24(4):e377-9. doi: 10.1097/SCS.0b013e318290310f.
Mycotic aneurysms of the extracranial carotid artery are rare. We describe a case of a patient with an aneurysm of extracranial internal carotid artery, presented as a swelling at the right submandibular triangle. Carotid angiography revealed a saccular aneurysm. During the operation, an abscess, due to Salmonella, was found around the aneurysm. Ten days later, after the drainage of the pus, new carotid angiography revealed thrombosis of the right internal carotid artery. Two months later, the physical condition of our patient improved.Atherosclerosis, trauma, and many microbial agents are common causes of the aneurysm. The symptoms of the aneurysm may vary according to its size and location. Pain over the aneurysm is a common symptom. Rupture of the aneurysm is the most dramatic complication. Clinical examination, color Doppler ultrasonography, angiography, and computed tomography are the most common diagnostic modalities. Differential diagnosis must be done from other expansive pathologies. Resection of the aneurysmatic sac with restoration of flow is the preferred method of treatment.
颅外颈动脉霉菌性动脉瘤较为罕见。我们描述了一例患有颅外颈内动脉瘤的患者，其表现为右下颌下三角区的肿胀。颈动脉血管造影显示为囊状动脉瘤。手术过程中，在动脉瘤周围发现了由沙门氏菌引起的脓肿。十天后，在脓液引流后，新的颈动脉血管造影显示右颈内动脉血栓形成。两个月后，患者身体状况有所改善。动脉粥样硬化、创伤和许多微生物因素是动脉瘤的常见病因。动脉瘤的症状可能因其大小和位置而异。动脉瘤部位疼痛是常见症状。动脉瘤破裂是最严重的并发症。临床检查、彩色多普勒超声、血管造影和计算机断层扫描是最常见的诊断方法。必须与其他占位性病变进行鉴别诊断。切除动脉瘤囊并恢复血流是首选的治疗方法。
