Traumatic pseudoaneurysm of the superficial temporal artery: A case report and review of literature

Sardana, V.; Sundar, I Vijay; Jaiswal, Manish; Gupta, Pankaj; Chopra, Sanjeev

doi:10.1016/j.ijnt.2012.04.008

Cited by 8 publications

(5 citation statements)

References 13 publications

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“…3,4 Traumatic pseudoaneurysm: the most commonly affected artery is the STA, which is at risk due to its superficial course and being sited directly against the skull (in the area between the frontalis and temporalis muscles) with less protection of trauma. [1][2][3][4] The STA is the terminal branch of the external carotid and usually has an anterior (frontal) branch and a posterior (parietal) branch. 1,2 The etiology of the lesion is commonly traumatic (80%) or iatrogenic.…”

Section: Discussionmentioning

confidence: 99%

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An uncommon vascular swelling in a child: post traumatic pseudoaneurysm

Sarma¹

2019

Int Surg J

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Ultrasound Doppler revealed a vascular lesion suggestive of Aneurysm; there was no thrombus in the lesion. CT angiography demonstrated a localized cystic dilatation of ABSTRACT Pseudo aneurysms of the superficial temporal artery (STA) are very rare (less than 1% of aneurysms), and usually occur after blunt head injury. It usually presents as a slow growing, pulsatile mass in the temporal area. Other symptoms that may occur are headache, ear pain, facial palsy or haemorrhage. Arteriography is the diagnostic investigation and computed tomography angiography will exclude other conditions such as arteriovenous malformation and fistula and confirm the diagnosis. Surgery with ligation of the proximal and the distal parts of the vessel and resection of the aneurysm is the treatment of choice. We report the case of a 10-year-old child, with a pseudo aneurysm of the STA secondary to trauma, who underwent surgical resection of the lesion with good outcome.

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Section: Discussionmentioning

confidence: 99%

“…2,3 Pseudo aneurysms are rare lesions in children, and are usually reported after trauma or iatrogenic arterial injury. 4 Pseudo aneurysms of the STA are very rare (less than 1% of aneurysms), and usually occur after blunt head injury. 4,5 We report the case of a 10-year-old child, with a pseudo aneurysm of the STA secondary to trauma.…”

Section: Introductionmentioning

confidence: 99%

An uncommon vascular swelling in a child: post traumatic pseudoaneurysm

Sarma¹

2019

Int Surg J

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“…Due to the formation of causes, the typical finding of pseudoaneurysm is a thrilling or pulsatile mass in the temporal region. Furthermore, the pulsation disappears while the proximal part of the STA is compressed [3]. The anterior superficial branch of the STA is most vulnerable because of its course.…”

Section: Discussionmentioning

confidence: 99%

Forehead Pseudoaneurysm after Falling Down: A Case Report

Kuo¹,

Pao²

2017

Vasc Med Surg

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Forehead pseudoaneurysm after falling down is a rare condition. We report a case of a patient with a 2-month history of a forehead growing mass after falling down and bumping her right forehead. The 3-dimensional computed tomography (CT) angiography showed a hyperdense lesion with internal enhancing focus and supplying by one small branch of right superficial temporal artery (STA). Surgical resection of the pseudoaneurysm with coagulation of the feeding artery was performed. However, there was profuse bleeding complication while drainage tube removal, an emergent explored surgical hemostasis was done. In this article, in addition to presenting the clinical course of an unusual case, we wanted to give emphasis to that ligation of the proximal and distal vessels are necessary while surgical resection of the pseudoaneurysm.Keywords: Pseudoaneurysm; Superficial temporal artery; Threedimensional CT angiography; Surgery Case ReportA 75-year-old woman presented with a 2-month history of a growing mass in her forehead. Two months previously, she had fallen and bumped her right forehead. There was a contusion area on the right side of the forehead, and finally resolved three weeks after the trauma. However, a small pulsatile nodule persevered and increased in size gradually. The physical examination revealed a 15 × 15 mm sized pulsatile mass on the right frontal region. The pulsation decreased while pressuring on the proximal part of the STA. Ultrasonography showed 15 × 5 mm of the lesion with intralesional vascularity. CT and 3-dimensional CT angiography showed a hyperdense lesion, measuring 12 × 16 mm with internal marked enhancing focus and supplying by one small branch of right STA (Figure 1). Based on above findings, pseudoaneurysm of the STA was suspected. We described the tract of branches of STA for operative planning (Figure 2). The pseudoaneurysm was dissected carefully by sharp dissection, and clear margin was noted (Figure 3). The distal feeding artery was cut and coagulated by bipolar coagulation. The pseudoaneurysm was totally removed. However, there was profuse bleeding while Combination Waste Vent (CWV) drain removal three days after operation. We performed emergent explored surgical hemostasis of the CWV tract and STA branches. Hemovac drain was inserted through a new tract. The patient recovered uneventfully, and there was no bleeding or recurrence of the lesion. The final pathological findings confirmed a pseudoaneurysm (Figure 4).

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“…This outpatient procedure is increasingly favoured for its minimally invasive approach, quick recovery time owing to avoidance of parasthesiae, and reduced risk of subsequent scarring when compared with surgical techniques. 13 However, associated complications include recanalisation of the pseudoaneurysm, transient ischaemic attack, stroke, infection, contrast reaction, and pseudoaneurysm of the groin secondary to femoral puncture. 12 The micro-coils are left in place permanently, but a palpable lump in the temporal region will always be present.…”

Section: Discussionmentioning

confidence: 99%

A post-traumatic pulsatile nodule in the right pre-auricular region

Skelton

Moody

Anderson

et al. 2015

BMJ

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A 48 year old window fitter was referred directly from his general practitioner to the maxillofacial department with an eight week history of a painless, slowly enlarging nodule in his right pre-auricular region. He had noticed the lump shortly after a minor bump on his head at work. He was otherwise fit and well.Clinical examination confirmed a 10 mm firm and pulsatile nodule in the pre-auricular region. It was non-tender and non-fixed. Differential diagnoses included epidermal inclusion (sebaceous) cyst and lipoma. However, given his history of minor trauma, the maxillofacial team requested an ultrasound examination to confirm the nature of the lesion before further intervention.Duplex ultrasound examination of the right pre-auricular region showed a pulsatile nodule adjacent to the superficial temporal artery and right parotid gland that contained turbulent arterialised blood flow. Tortuous afferent and efferent arterialised vessels were also seen adjacent to the parotid gland.

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Traumatic pseudoaneurysm of the superficial temporal artery: A case report and review of literature

Cited by 8 publications

References 13 publications

An uncommon vascular swelling in a child: post traumatic pseudoaneurysm

An uncommon vascular swelling in a child: post traumatic pseudoaneurysm

Forehead Pseudoaneurysm after Falling Down: A Case Report

A post-traumatic pulsatile nodule in the right pre-auricular region

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