Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research
  Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login  
  Home Print this page Email this page Small font sizeDefault font sizeIncrease font size Users Online: 220       

   Table of Contents      
CLINICAL IMAGES
Year : 2017  |  Volume : 145  |  Issue : 3  |  Page : 405

A rare case of maxillary artery aneurysm


Department of General Surgery, Institute of Postgraduate Medical Education & Research (IPGME&R), Kolkata 700 020, West Bengal, India

Date of Submission16-Jan-2016
Date of Web Publication27-Jul-2017

Correspondence Address:
Makhan Lal Saha
Department of General Surgery, Institute of Postgraduate Medical Education & Research (IPGME&R), Kolkata 700 020, West Bengal
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_94_16

Rights and Permissions

How to cite this article:
Saha ML, Maji S. A rare case of maxillary artery aneurysm. Indian J Med Res 2017;145:405

How to cite this URL:
Saha ML, Maji S. A rare case of maxillary artery aneurysm. Indian J Med Res [serial online] 2017 [cited 2020 Jan 21];145:405. Available from: http://www.ijmr.org.in/text.asp?2017/145/3/405/211682

A 44 yr old female presented to the department of General Surgery, Seth Sukhlal Karnani Memorial Hospital, Kolkata, India, in July 2015 with a slow growing painless mass in her left parotid region for the last 10 months which was not associated with fever or any constitutional symptoms. She denied any history of trauma to her face. There were no complaints of dysphagia, dysarthria or difficulty in opening mouth. She had no features of facial nerve palsy. There was no past history of surgery or medical illness. She was hypertensive and non-diabetic. On examination, a pulsatile globular swelling was found in her left parotid region [Figure 1]. Her neurological and cardiovascular examination was normal. An ultrasonography showed the presence of a hypervascular mass in the region of parotid, probably of arterial origin. A computed tomography angiography done subsequently revealed the presence of maxillary artery aneurysm along with synchronous intracranial aneurysms [Figure 2] & [Figure 3]. She was referred to the cardiothoracic department for further management. However, she was lost to follow up. Maxillary artery aneurysms are exceedingly rare and most reported cases include pseudoaneurysms often occurring due to trauma or facial fractures. True aneurysms of maxillary artery are rare. Treatment includes coil embolization of the arteries.
Figure 1: A globular swelling (9 cm × 8 cm) with smooth surface and regular margin in the left parotid region. The swelling has displaced her ear lobule backwards.

Click here to view
Figure 2: Computed tomography angiogram of the neck showing a saccular aneurysm of the left maxillary artery involving the left masticator, parapharyngeal and infratemporal spaces. The red circle points out the maxillary artery aneurysm.

Click here to view
Figure 3: Computed tomography angiogram (coronal cuts) of the same patient showing a concomitant left internal carotid artery aneurysm (green circles) along with the left maxillary artery aneurysm

Click here to view





    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    Article Figures

 Article Access Statistics
    Viewed298    
    Printed1    
    Emailed0    
    PDF Downloaded117    
    Comments [Add]    

Recommend this journal