Patel Ditixa, Arora Nikhil, Taneja Harish, Bansal Ramanuj, Satyarthi Subodh, Goel Ankit, Sabareesh M
Department of ENT, Maulana Azad Medical College, New Delhi, India.
Department of Cardio-Thoracic Vascular Surgery, Govind Ballabh Pant Hospital, New Delhi, India.
Ann Maxillofac Surg. 2025 Jan-Jun;15(1):124-127. doi: 10.4103/ams.ams_217_24. Epub 2025 May 30.
A 50-year-old female admitted with right neck swelling and fever was initially diagnosed with infective cervical lymphadenopathy accompanied by internal jugular vein thrombosis for which broad-spectrum antibiotics and anticoagulants were started.
A few days later, she developed right common carotid pseudoaneurysm with sentinel bleed which was further managed by common carotid artery repair with the help of pericardial allograft by cardiothoracic vascular surgery and ear, nose and throat team.
OUTCOME AND TAKE-AWAY LESSONS: This report emphasises the need of having a high index of suspicion for Lemierre's syndrome and its unusual presentation, as well as a multidisciplinary approach to addressing both venous and arterial complications associated with this entity and achieving outstanding results.
一名50岁女性因右颈部肿胀和发热入院，最初被诊断为感染性颈淋巴结病伴颈内静脉血栓形成，为此开始使用广谱抗生素和抗凝剂。
几天后，她出现右颈总动脉假性动脉瘤并伴有哨兵样出血，心胸血管外科和耳鼻喉科团队借助心包同种异体移植物对颈总动脉进行修复，从而进一步处理了该情况。
本报告强调，对于勒米尔综合征及其不寻常表现需保持高度怀疑指数，以及采用多学科方法来处理与该病症相关的静脉和动脉并发症并取得显著成效。
