Carotid blowout syndrome caused by chronic infection:A case report  

作　　者：Tian-Hao Xie Wen-Jun Zhao Xiao-Long Li Yan Hou Xiong Wang Jing Zhang Xiu-Hua An Li-Tao Liu 

机构地区：[1]Department of General Surgery,Affiliated Hospital of Hebei University,Baoding 071000,Hebei Province,China [2]Department of Ophthalmology,MEM Yinghua Hospital,Baoding 071000,Hebei Province,China [3]Department of Traumatology,The First Hospital of Hebei Medical University,Shijiazhuang 050000,Hebei Province,China [4]Department of Imaging,Affiliated Hospital of Hebei University,Baoding 071000,Hebei Province,China [5]Department of General Surgery,Li County Hospital,Baoding 071400,Hebei Province,China [6]Department of Internal Medicine,Wangdu County Chinese Medicine Hospital,Baoding 072450,Hebei Province,China

出　　处：《World Journal of Clinical Cases》2022年第15期5051-5056,共6页世界临床病例杂志

基　　金：Supported by Medical Science Research Project of Hebei Provincial Health Commission,No.20211642.

摘　　要：BACKGROUND Carotid blowout syndrome(CBS)refers to rupture of the extracranial carotid artery and its branches;as a severe complication,it usually occurs after surgery or radiotherapy for malignant tumours of the head and neck.We present a case of CBS caused by chronic infection of the external carotid artery(ECA).In this case,we did not find any evidence of head and neck tumours.CASE SUMMARY A 42-year-old man was referred to the Emergency Department with a complaint of a lump found on the left side of his neck with pain and fever for 4 d.We diagnosed the condition as neck infection with abscess formation based on physical examination,routine blood examination,ultrasound examination and plain computed tomography(CT)and decided to perform emergency surgery.During the operation,30 mL of grey and smelly pus was drained from the deep surface of the sternocleidomastoid muscle.The second day after the operation,the patient suddenly exhibited a large amount of haemoptysis and incision bleeding.The enhanced CT showed distal occlusion of the left ECA and irregular thickening of the broken ends of the artery encased in an uneven enhancement of soft tissue density.Infected ECA occlusion and rupture were considered.The patient was transferred to a vascular unit for transcatheter ECA embolization and recovered well.CONCLUSION Surgeons need to pay attention to vascular lesions caused by chronic infection that may develop into acute CBS.

关 键 词：Carotid blowout syndrome Carotid arteries INFECTION Surgery Case report 

分 类 号：R653[医药卫生—外科学]