Wandering carotid arteries: Reciprocating change between normal and retropharyngeal positions on serial CT studies

Autor: Akira Baba, Hideomi Yamauchi, Nobuhiro Ogino, Yumi Okuyama, Shinji Yamazoe, Yohei Munetomo, Yuko Kobashi, Takuji Mogami, Hiroya Ojiri
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Radiology Case Reports, Vol 12, Iss 4, Pp 752-755 (2017)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2017.07.007
Popis: Positional change in the retropharyngeal carotid artery, a rare phenomenon over time, is even rarer in previous reports, and it is important to be aware of this before any neck surgical procedure. A woman in her 50s underwent an anterior maxillectomy for upper gingival cancer, without neck dissection. The patient had medical histories of diabetes mellitus and liver dysfunction, with unremarkable family histories. Serial neck contrast-enhanced computed tomography for detecting locoregional recurrence had been performed as a follow-up during 4 years. A radiological course of moving carotid arteries in serial computed tomography studies showed reciprocating positional changes (wandering) between normal and retropharyngeal regions. There was no locoregional recurrence of the gingival cancer. This is the first case to describe a so-rare presentation of wandering carotid arteries. It is important for clinicians to be aware of a wandering carotid artery to avoid potentially fatal complications.
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