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Petrous internal carotid artery aneurysm rupture induced by Eustachian tube catheterisation: case report

Published online by Cambridge University Press:  07 October 2022

H Hyakusoku Open the ORCID record for H Hyakusoku [Opens in a new window] ,
Y Tsuchiya ,
Y Matsushita  and
M Nakayama Open the ORCID record for M Nakayama [Opens in a new window]
H Hyakusoku*
Affiliation:
Otorhinolaryngology, Yokosuka Kyosai Hospital, Yokosuka City, Kanagawa, Japan
Y Tsuchiya
Affiliation:
Neurosurgery, Yokosuka Kyosai Hospital, Yokosuka City, Kanagawa, Japan
Y Matsushita
Affiliation:
Otorhinolaryngology, Yokosuka Kyosai Hospital, Yokosuka City, Kanagawa, Japan
M Nakayama
Affiliation:
Otorhinolaryngology, Yokosuka Kyosai Hospital, Yokosuka City, Kanagawa, Japan
*
Author for correspondence: Dr Hiroshi Hyakusoku, Department of Otorhinolaryngology, Yokosuka Kyosai Hospital, 1–16 Yonegahamadori, Yokosuka, Kanagawa 238-8558, Japan E-mail: hhyaku@yokohama-cu.ac.jp Fax: +81 468 230 179
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Abstract

Background

Petrous internal carotid artery aneurysms are very rare vascular lesions, which may present with otalgia and life-threatening massive otorrhoea.

Case report

An 84-year-old woman presented at a local otolaryngology clinic with progressive otalgia due to an acute exacerbation of chronic otitis media. She was referred with left-sided massive otorrhoea following Eustachian tube catheterisation. She suffered another massive otorrhoea with epistaxis during left-sided ear cleaning at a clinic visit. Contrast-enhanced computed tomography and computed tomography angiography revealed a left-sided aneurysm and adjacent stenosis at the left internal carotid artery. Coil embolisation of the petrous internal carotid artery aneurysm was performed with percutaneous transluminal angioplasty followed by dilatation of the stenosis.

Conclusion

Computed tomography angiography should be performed immediately when a patient reports massive otorrhoea. Endovascular occlusion is a treatment option as it avoids complications of open surgical ligation procedures.

Keywords

EpistaxisOtitis MediaComputed Tomography, X-RayNeurosurgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 5 , May 2023 , pp. 588 - 590
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr H Hyakusoku takes responsibility for the integrity of the content of the paper

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