İki taraflı kıvrımlı internal karotis arterin neden olduğu pulsatil orofarengeal ve boyun kitlesi: Olgu sunumu

Yıl 2010, Cilt: 20 Sayı: 5, 260 - 263, 15.10.2010

Güçlü Kaan Beriat Hande Ezerarslan Sinan Kocatürk Ali Fuat Mıhmanoğlu Erkan Kuralay

Öz

İnternal karotis arterin servikal seyri, intrakraniyal parçasının yüksek derecede kıvrımlı olmasına karşın oldukça düzdür. İnternal karotis arte- rin servikal seyrindeki değişikliklerin toplumdaki oranı yaklaşık %10-40 civarındadır. Bu olgu sunu- munda ağız boşluğu arka duvarında ve boyun ön kısmında kitlesi olan 76 yaşında kadın hasta sunuldu. Fizik muayenesinde ağız boşluğu arka duvarının sağ tarafında ve boyun ön kısmında pulsatil kitle izlendi. Yapılan incelemelerde iki taraflı kıvrımlı internal karotis arteri saptandı ve segmental sol internal karotis arterektomi ve distal internal karotis artere - lateral ortak karotis artere anastomoz uygulandı, ameliyat sonrası komplikasyon olmadı

Anahtar Kelimeler

Boyun kitlesi, orofarengeal kitle, kıvrımlı internal karotis arter

Pulsatile oropharyngeal and neck mass caused by bilateral tortuous internal carotid artery: a case report

Öz

The cervical course of the internal carotid artery is almost straight in contrast to the intracranial portions which are highly tortuous. The incidence of variations in the cervical course of the internal carotid artery of the population is approximately 10-40 percent. In this case report, a 76-year-old female patient with a pulsatile mass at the posterior oropharyngeal wall and anterior neck was presented. Physical examination revealed a pulsatile anterior neck mass, and a pulsatile mass at the right posterior wall of the oropharynx. Imaging revealed a bilateral tortuous internal carotid artery and segmental left internal carotid arterectomy and distal internal carotid artery - lateral common carotid artery anastamosis were performed with no postoperative complications.

Anahtar Kelimeler

Neck mass, oropharyngeal mass, tortuous internal carotid artery

Kaynakça

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