Prendergast H, Kuo D
Department of Emergency Medicine, University of Maryland Medical System, Baltimore 21201, USA.
Ann Emerg Med. 1997 Aug;30(2):230-3. doi: 10.1016/s0196-0644(97)70148-3.
A 27-year-old man presented to the ED with an expanding neck mass after a Valsalva maneuver during sexual intercourse. This patient was found to have sustained a spontaneous rupture of the common carotid artery with pseudoaneurysm formation. The defect was repaired surgically with a saphenous vein patch, and the patient recovered. We discuss the rare occurrence of spontaneous carotid artery rupture and subsequent pseudoaneurysm.