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Pseudoaneurysm of the lingual artery after concurrent intra-arterial chemotherapy with radiotherapy for advanced tongue cancer

✍ Scribed by Shigeyuki Murono; Yosuke Nakanishi; Dai Inoue; Kumi Ozaki; Satoru Kondo; Naohiro Wakisaka; Osamu Matsui; Tomokazu Yoshizaki

Book ID
102234776
Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
191 KB
Volume
33
Category
Article
ISSN
1043-3074

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✦ Synopsis

Abstract

Background.

Aneurysms of the external carotid artery and its branches are rare.

Methods.

We present an extremely rare case of pseudoaneurysm of the lingual artery secondary to concurrent intra‐arterial chemotherapy via the superficial temporal artery for advanced tongue cancer.

Results.

The patient developed sudden and significant oral bleeding from the left tongue base 10 weeks after the completion of treatment. Angiography provided a diagnosis of pseudoaneurysm of the lingual artery, and subsequent endovascular intervention was an effective means of controlling bleeding.

Conclusion.

Rupture of a pseudoaneurysm causes massive, life‐threatening bleeding, which requires adequate diagnosis and treatment. Pseudoaneurysm should be considered in cases showing sudden oral bleeding after intra‐arterial chemotherapy for advanced head and neck cancer. Β© 2010 Wiley Periodicals, Inc. Head Neck, 2011

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