• Indian J Pediatr · Oct 2018

    Case Reports

    Impending Rupture of Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess.

    • Poonam Sagar, Arif Kavungal Nambillath, Vikas Malhotra, Ajay Raj, and Abhay Anand.
    • Department of ENT, Maulana Azad Medical College and Associated Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi, 110002, India. poonamsgr.mamc@gmail.com.
    • Indian J Pediatr. 2018 Oct 1; 85 (10): 911-913.

    AbstractExtracranial carotid artery aneurysms are rare but important entity. Impending rupture of such aneurysms can lead to catastrophic hemorrhage, airway compromise and may prove fatal. The authors report a case of true aneurysm of cervical internal carotid artery in a four-year-old girl who presented with fever and swelling of neck and oropharynx. High clinical suspicion is required to differentiate aneurysm from peritonsillar and parapharyngeal abscess as incision and drainage can prove fatal. Securing airway beforehand and timely embolization has led to the favorable outcome in the present case.

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