Search

Le pseudo-anévrisme provient d'une solution de la continuité de la paroi artérielle, secondaire à l'inflammation, un traumatisme ou des causes iatrogènes telles que la chirurgie, une biopsie percutanée ou un drainage. Nous rapportons un cas d'un patient de 37 ans, venant consulter pour constatation d'une tuméfaction cervicale évoluant progressivement suite à un traumatisme cervical pénétrant survenu 8 mois auparavant. L'échographie doppler complétée par un angioscanner a confirmé le diagnostic de pseudo-anévrisme de l'artère carotide externe gauche. Le diagnostic de pseudo-anévrisme est plus aisé avec le développement considérable de l'imagerie en coupe et de l'angiographie.

Copyright of Pan African Medical Journal is the property of Pan African Medical Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract: Life-threatening bleeding following craniofacial injury is rare. The rich collateral circulation between external and internal carotid arteries complicates the problem of controlling haemorrhage. We report the case of a 63-year-old man who presented a life-threatening haemorrhage following maxillofacial trauma and a severe head injury with subdural haematoma requiring neurosurgical evacuation. Although we had an interventional radiology unit, facial haemostasis was achieved by an unilateral ligation of the external carotid artery. There were three reasons behind our decision: multiple bleeding excluding selective endovascular embolization, efficiency and speed of the ligation of the external carotid, only one place for this cephalic surgery in two phases (neurosurgery and neck surgery). The role of ligation of the external carotid artery for life-threatening bleeding following facial injury is discussed. [Copyright &y& Elsevier]