A false aneurysm

Mitchell, D., Repanos, C. and Coman, W. B. (2012) A false aneurysm. Journal of Laryngology and Otology, 126 Supp. 2: S14-S15. doi:10.1017/S0022215112000370

Author Mitchell, D.
Repanos, C.
Coman, W. B.
Title A false aneurysm
Journal name Journal of Laryngology and Otology   Check publisher's open access policy
ISSN 0022-2151
Publication date 2012-07
Sub-type Article (original research)
DOI 10.1017/S0022215112000370
Volume 126
Issue Supp. 2
Start page S14
End page S15
Total pages 2
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Collection year 2013
Language eng
Formatted abstract
Objective: We report a case of a remaining hemi-thyroid following laryngectomy, which was misinterpreted as a pseudoaneurysm.

Methods: Case report and comment on this understandable error which is easily avoidable.

Results: A 59-year-old man had undergone salvage laryngectomy for recurrent squamous cell carcinoma of the larynx, which had previously been treated with radiotherapy. Three months after his laryngectomy, he presented with a sore neck and subcutaneous collections. Computed tomography revealed a unilateral mass with high signal contrast uptake anterior to the left common carotid artery, which was thought initially to be a carotid pseudoaneurysm. Further investigation, including ultrasonography and a review by the senior head and neck radiologist, demonstrated that this mass was actually the remnant hemi-thyroid preserved at laryngectomy (which is often misshapen compared with a normal hemi-thyroid). The collections were found to be recurrent tumour, and unnecessary further interventions were avoided.

Conclusion: Ultrasonography easily distinguishes between a thyroid remnant and a pseudoaneurysm. Furthermore, the opinion of an experienced head and neck radiologist may be vital when interpreting complex post-surgical head and neck radiology.
Keyword Pseudoaneurysm
Squamous cell carcinoma
False aneurysm
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes First published online: 30 March 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Medicine Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 1 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Mon, 02 Jul 2012, 08:00:02 EST by System User on behalf of School of Medicine