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Original Article
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Korean J Med. 2010;78(2):252-256.
- 방사선치료 후 비출혈로 나타난 추체내경동맥의 가성동맥류 1예
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이수진, 안희경, 김수아, 김건하, 안용찬, 박근칠, 안명주
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- A case of petrous carotid artery pseudoaneurysm presenting with epistaxis after radiotherapy in a patient with nasopharyngeal cancer
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Su Jin Lee, Hee Kyung Ahn, Su A Kim, Keon Ha Kim, Young Chan Ahn, Keunchil Park, Myung Ju Ahn
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- Abstract
- Rupture of an internal carotid artery pseudoaneurysm is a rare but lethal complication in patients with nasopharyngeal cancer. Here, we report a case of severe nasal bleeding from a left petrous internal carotid artery aneurysm after chemoradiotherapy in a patient with nasopharyngeal cancer. A 76-year-old man who was being treated with concurrent chemoradiotherapy and who had achieved a complete response for 14 months developed massive epistaxis . A postnasal space computed tomography scan showed an enhanced nodular lesion at the left petrous internal carotid artery, and angiography revealed a pseudoaneurysm measuring 11.5×9.1 mm in the left internal carotid artery. Bleeding was well controlled with endovascular occlusion using a coil. The patient showed no recurrence of bleeding during follow-up. (Korean J Med 78:252-256, 2010)
Keywords :ICA pseudoaneurysm, Radiotherapy, Nasopharyngeal cancer
