Sayad Zahra, Abid Mohammed, Belhaj Nejwa
Oral and Maxillofacial Surgery Department, University Hospital center, Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, Morocco.
Otolaryngology Department, Hospital center of Guelmim, Ibn Zohr University, Guelmim, Morocco.
Radiol Case Rep. 2025 Jul 5;20(9):4812-4816. doi: 10.1016/j.radcr.2025.06.034. eCollection 2025 Sep.
Facial artery pseudoaneurysm, although rare, is a serious condition caused by rupture of artery with extravasation of blood. The compressed perivascular tissue forms the wall of aneurysmal sac, typically presents as a pulsatile swelling. Diagnosis is confirmed through computed tomography (CT), angiography, or ultrasound. Treatment options vary depending on the size and symptoms and include observation, compression, surgical resection, vessel ligation, embolization, and intralesional sclerotherapy. A 42-year-old male with no significant past medical history, presented with a painless, pulsatile, firm mass measuring 2 × 1.5 cm in the left jugal peribuccal region that had progressively grown over 2 months. Ultrasound and computed tomography imaging revealed a pseudoaneurysm of facial artery. Under local anesthesia and intravenous sedation, we performed a surgical resection of the mass with ligation of the vessels, highlighting the importance of early diagnosis and appropriate surgical intervention.
面动脉假性动脉瘤虽罕见，但却是一种由动脉破裂伴血液外渗引起的严重病症。受压的血管周围组织形成瘤囊壁，通常表现为搏动性肿胀。通过计算机断层扫描（CT）、血管造影或超声可确诊。治疗方案因大小和症状而异，包括观察、压迫、手术切除、血管结扎、栓塞和瘤内硬化治疗。一名42岁男性，既往无重大病史，在左颊部颧部区域出现一个无痛、搏动性、质地坚硬的肿块，大小为2×1.5厘米，在2个月内逐渐增大。超声和计算机断层扫描成像显示为面动脉假性动脉瘤。在局部麻醉和静脉镇静下，我们对肿块进行了手术切除并结扎血管，强调了早期诊断和适当手术干预的重要性。
