Internal Carotid Artery Pseudoaneurysm Secondary to Severe Cervico-Facial Cellulitis: A Case Report

Pseudo-Anévrisme de l'Artère Carotide Interne Secondaire à une Cellulite Cervico-Faciale Sévère : À Propos d’un Cas

Authors

  • Meneas C 1: Cardiovascular and Thoracic Surgery Department, Alassane Ouattara University, Bouake, Cote d’Ivoire
  • Sall F 2: Cardiology Department, Alassane Ouattara University, Bouake, Cote d’Ivoire
  • Abro S 1: Cardiovascular and Thoracic Surgery Department, Alassane Ouattara University, Bouake, Cote d’Ivoire
  • Zegbeh E 3: Dental-Stomatology Department, Alassane Ouattara University, Bouake, Cote d’Ivoire
  • Binate A 1: Cardiovascular and Thoracic Surgery Department, Alassane Ouattara University, Bouake, Cote d’Ivoire
  • N’Guessan I 1: Cardiovascular and Thoracic Surgery Department, Alassane Ouattara University, Bouake, Cote d’Ivoire
  • Koffi N 2: Cardiology Department, Alassane Ouattara University, Bouake, Cote d’Ivoire
  • Kohi N 2: Cardiology Department, Alassane Ouattara University, Bouake, Cote d’Ivoire
  • Doumbia ML 2: Cardiology Department, Alassane Ouattara University, Bouake, Cote d’Ivoire
  • Ouattara P 2: Cardiology Department, Alassane Ouattara University, Bouake, Cote d’Ivoire
  • Diby F 2: Cardiology Department, Alassane Ouattara University, Bouake, Cote d’Ivoire
  • Adoubi A 2: Cardiology Department, Alassane Ouattara University, Bouake, Cote d’Ivoire

DOI:

https://doi.org/10.5281/hra.v2i11.6208

Keywords:

carotid artery, pseudoaneurysm, bacterial cellulitis

Abstract

ABSTRACT
Internal carotid artery (ICA) pseudoaneurysm is a serious vascular and rarely post-infectious complication. We report the case of a 23-year-old, man, of poor economic condition admitted for left latero-cervico-facial swelling. His past medical history included untreated dental caries complicated by a streptococcal cervico-facial cellulitis. Clinical examination found a left lag, shiny latero-cervico-facial mass associated to an infectious syndrome. Ultrasound-Doppler showed a left internal carotid artery pseudoaneurysm. AngioCT of supra-aortic trunks could not be obtained. Surgical repair was performed with antibiotic therapy. Post-operative course was uneventful and the patient was discharged from the hospital on post-operative day 5.

RÉSUMÉ
Le pseudo-anévrisme de l'artère carotide interne (ACI) est une complication vasculaire grave et rarement post-infectieuse. Nous reportons le cas d'un homme de 23 ans, en mauvaise situation économique, admis pour une tuméfaction latéro-cervico-faciale gauche. Ses antécédents comprenaient une carie dentaire non traitée compliquée d'une cellulite cervico-faciale streptococcique. L'examen clinique a mis en évidence une masse latéro-cervico-faciale gauche volumineuse et brillante associée à un syndrome infectieux. L'échographie-Doppler a objectivé un pseudo-anévrisme de la carotide interne gauche. Un angio-scanner des troncs supra-aortiques a été demandé mais n'a pas été effectué pour des raisons économiques. Une réparation chirurgicale a été réalisée avec une antibiothérapie. L'évolution post-opératoire a été simple et le patient a quitté l'hôpital au cinquième jour post-opératoire.

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Published

08-11-2024

How to Cite

Meneas C, Sall F, Abro S, Zegbeh E, Binate A, N’Guessan I, Koffi N, Kohi N, Doumbia ML, Ouattara P, Diby F, & Adoubi A. (2024). Internal Carotid Artery Pseudoaneurysm Secondary to Severe Cervico-Facial Cellulitis: A Case Report: Pseudo-Anévrisme de l’Artère Carotide Interne Secondaire à une Cellulite Cervico-Faciale Sévère : À Propos d’un Cas. HEALTH RESEARCH IN AFRICA, 2(11). https://doi.org/10.5281/hra.v2i11.6208

Issue

Vol. 2 No. 11 (2024): Health Research in Africa

Section

Medicine and Surgery in the Tropics

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Copyright (c) 2024 Meneas C, Sall F, Abro S, Zegbeh E, Binate A, N’Guessan I, Koffi N, Kohi N, Doumbia ML, Ouattara P, Diby F, Adoubi A

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