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A rare complication of middle ear cholesteatoma - Pseudoaneurysm of petrous internal carotid artery

Objectives: To report a rare complication of middle ear cholesteatoma resulting pseudoaneurysm of petrous internal carotid artery (ICA). Case report: A 39. year old lady presented with sudden profuse bleeding from the right ear. Previously, she had been having bilateral intermittent foul smelling ea...

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Main Authors: Lim, L. Y., Mohamad, Irfan, Lau, J. H, Tang, I. P.
Format: Article
Language:English
Published: Egyptian Society of Ear Nose Throat and Allied Sciences 2017
Subjects:
RF Otorhinolaryngology
Online Access:http://ir.unimas.my/id/eprint/15331/2/A%20rare%20complication%20-%20Copy.pdf
http://ir.unimas.my/id/eprint/15331/
https://www.sciencedirect.com/science/article/pii/S2090074016300871
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spelling my.unimas.ir.153312022-05-30T06:33:14Z http://ir.unimas.my/id/eprint/15331/ A rare complication of middle ear cholesteatoma - Pseudoaneurysm of petrous internal carotid artery Lim, L. Y. Mohamad, Irfan Lau, J. H Tang, I. P. RF Otorhinolaryngology Objectives: To report a rare complication of middle ear cholesteatoma resulting pseudoaneurysm of petrous internal carotid artery (ICA). Case report: A 39. year old lady presented with sudden profuse bleeding from the right ear. Previously, she had been having bilateral intermittent foul smelling ear discharge for a year. Otoscope finding was insignificant as only blood seen. Computed tomography of temporal bone and magnetic resonance imaging of brain suggested locally aggressive cholesteatoma. Right ICA angiography showed pseudoaneurysm of petrous part of ICA. She underwent coil embolisation followed by bilateral modified radical mastoidectomy a month later. She recovered well after surgery and remained symptoms free. Conclusions: Pseudoaneurysm of petrous ICA as a complication of middle ear cholesteatoma is extremely rare. Spontaneous profuse bleeding maybe the only clinical presentation. Radiological imaging is important to diagnose and assist in treatment. Endovascular technique may be required, followed by surgical treatment for infection control. Egyptian Society of Ear Nose Throat and Allied Sciences 2017-11-27 Article PeerReviewed text en http://ir.unimas.my/id/eprint/15331/2/A%20rare%20complication%20-%20Copy.pdf Lim, L. Y. and Mohamad, Irfan and Lau, J. H and Tang, I. P. (2017) A rare complication of middle ear cholesteatoma - Pseudoaneurysm of petrous internal carotid artery. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 18. pp. 199-201. ISSN 20900740 https://www.sciencedirect.com/science/article/pii/S2090074016300871 DOI: 10.1016/j.ejenta.2016.12.017
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic RF Otorhinolaryngology
spellingShingle RF Otorhinolaryngology
Lim, L. Y.
Mohamad, Irfan
Lau, J. H
Tang, I. P.
A rare complication of middle ear cholesteatoma - Pseudoaneurysm of petrous internal carotid artery
description Objectives: To report a rare complication of middle ear cholesteatoma resulting pseudoaneurysm of petrous internal carotid artery (ICA). Case report: A 39. year old lady presented with sudden profuse bleeding from the right ear. Previously, she had been having bilateral intermittent foul smelling ear discharge for a year. Otoscope finding was insignificant as only blood seen. Computed tomography of temporal bone and magnetic resonance imaging of brain suggested locally aggressive cholesteatoma. Right ICA angiography showed pseudoaneurysm of petrous part of ICA. She underwent coil embolisation followed by bilateral modified radical mastoidectomy a month later. She recovered well after surgery and remained symptoms free. Conclusions: Pseudoaneurysm of petrous ICA as a complication of middle ear cholesteatoma is extremely rare. Spontaneous profuse bleeding maybe the only clinical presentation. Radiological imaging is important to diagnose and assist in treatment. Endovascular technique may be required, followed by surgical treatment for infection control.
format Article
author Lim, L. Y.
Mohamad, Irfan
Lau, J. H
Tang, I. P.
author_facet Lim, L. Y.
Mohamad, Irfan
Lau, J. H
Tang, I. P.
author_sort Lim, L. Y.
title A rare complication of middle ear cholesteatoma - Pseudoaneurysm of petrous internal carotid artery
title_short A rare complication of middle ear cholesteatoma - Pseudoaneurysm of petrous internal carotid artery
title_full A rare complication of middle ear cholesteatoma - Pseudoaneurysm of petrous internal carotid artery
title_fullStr A rare complication of middle ear cholesteatoma - Pseudoaneurysm of petrous internal carotid artery
title_full_unstemmed A rare complication of middle ear cholesteatoma - Pseudoaneurysm of petrous internal carotid artery
title_sort rare complication of middle ear cholesteatoma - pseudoaneurysm of petrous internal carotid artery
publisher Egyptian Society of Ear Nose Throat and Allied Sciences
publishDate 2017
url http://ir.unimas.my/id/eprint/15331/2/A%20rare%20complication%20-%20Copy.pdf
http://ir.unimas.my/id/eprint/15331/
https://www.sciencedirect.com/science/article/pii/S2090074016300871
_version_ 1734303756874416128
score 13.211869

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