Authors: Pazienza, Kathryn J.; Duke, Rhonda I.; Whitehouse, W.M.; Higginbotham, Candace

Source: Journal for Vascular Ultrasound, Volume 31, Number 3, September 2007 , pp. 157-158(2)

Publisher: Society for Vascular Ultrasound

Abstract:

Introduction.— A 73-year-old woman presented to the vascular laboratory for evaluation of a right-sided neck mass. This case study details the course of her evaluation and the need for using carotid duplex in a complete work-up. The patient had noted a mass over several months, but it was asymptomatic.

Case Report.— The patient had a computed tomography scan at an outside institution, which showed an intensely enhancing lesion within the right carotid bifurcation, measuring 2.9 cm × 2.1 cm. The study was interpreted as a carotid body tumor and was referred for surgical consultation. A carotid duplex exam was ordered for further definition of the lesion. The carotid duplex exam revealed a 2.7-cm × 2.5-cm mass within the carotid bifurcation, which appeared to be a carotid aneurysm. A cerebral angiogram was obtained, which confirmed the diagnosis of carotid aneurysm.

Conclusion.— Aneurysms of the extracranial carotid arteries are uncommon arterial lesions. Many different modalities may be used when evaluating a carotid mass, but this case demonstrates the importance of carotid duplex scanning.

Document Type: Case report

Publication date: 2007-09-01

More about this publication?

• The Journal for Vascular Ultrasound (JVU) is the official journal of the Society for Vascular Ultrasound. It consists of original scientific and educational articles, case studies, book reviews, technical reviews, ultrasound principle reviews, viewpoints, letters to the editor, and CME tests. Regular reading of JVU, published quarterly, will keep you current in your field and provide essential information that can be applied in your practice.
  
  Previously known as the Journal of Vascular Technology - View Volumes 16-26 here
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