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편도주위농양으로 오인된 내경동맥류 1예

A Case of Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess

대한이비인후과학회지-두경부외과학 2020년 63권 10호 p.479 ~ 483
이준영, 한주호, 박범정, 위지혜,
소속 상세정보
이준영 ( Lee Jun-Young ) - Hallym University College of Medicine Hallym University Sacred Heart Hospital Department of Otolaryngology-Head and Neck Surgery
한주호 ( Han Ju-Ho ) - Hallym University College of Medicine Hallym University Sacred Heart Hospital Department of Otolaryngology-Head and Neck Surgery
박범정 ( Park Bum-jung ) - Hallym University College of Medicine Hallym University Sacred Heart Hospital Department of Otolaryngology-Head and Neck Surgery
위지혜 ( Wee Jee-Hye ) - Hallym University College of Medicine Hallym University Sacred Heart Hospital Department of Otolaryngology-Head and Neck Surgery

Abstract


Extracranial carotid artery aneurysm is an uncommon disease that otorhinolaryngologists may encounter only rarely. It usually presents as pulsatile neck mass or as other neurologic symptoms. We report a case of extracranial internal carotid artery aneurysm in an 81-year old female who presented with a fever and nonpulsatile oropharyngeal swelling mimicking a peritonsillar abscess. Incision and drainage of the swelling lesion could have resulted in catastrophic events such as aneurismal rupture or a stroke. We thus recommend radiologic evaluations of peritonsillar abscess before performing any procedure, even if it is clinically highly suspicious.

키워드

Aneurysm; Internal carotid artery; Peritonsillar abscess

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