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KMID : 0361020200630100479
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Korean Journal of Otolaryngology - Head and Neck Surgery
2020 Volume.63 No. 10 p.479 ~ p.483
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A Case of Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess
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Lee Jun-Young
Han Ju-Ho
Park Bum-jung
Wee Jee-Hye
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Abstract
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Extracranial carotid artery aneurysm is an uncommon disease that otorhinolaryngologists may encounter only rarely. It usually presents as pulsatile neck mass or as other neurologic symptoms. We report a case of extracranial internal carotid artery aneurysm in an 81-year old female who presented with a fever and nonpulsatile oropharyngeal swelling mimicking a peritonsillar abscess. Incision and drainage of the swelling lesion could have resulted in catastrophic events such as aneurismal rupture or a stroke. We thus recommend radiologic evaluations of peritonsillar abscess before performing any procedure, even if it is clinically highly suspicious.
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KEYWORD
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Aneurysm, Internal carotid artery, Peritonsillar abscess
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