Unusual sequela of neck trauma: External carotid pseudoaneurysm and jugular fistula

Carotid-jugular fistulas (CJFs) are rare vascular anomalies that typically arise after trauma or iatrogenic injury, such as central venous catheterization. In exceptional cases, they may result from the rupture of a pseudoaneurysm into an adjacent vein. We report a unique case of a 42-year-old man w...

Full description

Saved in:
Bibliographic Details
Main Authors: Kenza Berrada, Ibtissam El Ouali, Abdelkader Squali, Meryem Fikri, Mohamed Jiddane, Firdaous Touarsa
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325005643
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Carotid-jugular fistulas (CJFs) are rare vascular anomalies that typically arise after trauma or iatrogenic injury, such as central venous catheterization. In exceptional cases, they may result from the rupture of a pseudoaneurysm into an adjacent vein. We report a unique case of a 42-year-old man who presented with a right-sided pulsatile neck mass ten years after a knife wound. Imaging revealed a pseudoaneurysm of the external carotid artery communicating directly with the internal jugular vein, forming a CJF. This case highlights the importance of long-term vigilance following cervical trauma, as vascular complications such as pseudoaneurysms and arteriovenous fistulas may present years later.
ISSN:1930-0433