Post-actinic arteriopathy is one of the most devastating complications associated with therapy for head-and-neck cancers. We report a case of 67-year-old man presented to local emergency ward with left side neck blood dripping who died in a few hours before any diagnoses and treatment could be realized. Autoptic dissection found a 0,4cm length interruption in left internal carotid artery wall, within a fibrotic scar, which comprise the carotid sinus and its bifurcation. An injection and pumping proof with the water to simulate blood flow was conductedand demonstrated water jar from the left wall carotid artery injury. A diagnosis of acute carotid blowout syndrome was posed as cause of death.
A lethal dripping from the neck: A case report and mini review
Messina, Antonietta;
2018
Abstract
Post-actinic arteriopathy is one of the most devastating complications associated with therapy for head-and-neck cancers. We report a case of 67-year-old man presented to local emergency ward with left side neck blood dripping who died in a few hours before any diagnoses and treatment could be realized. Autoptic dissection found a 0,4cm length interruption in left internal carotid artery wall, within a fibrotic scar, which comprise the carotid sinus and its bifurcation. An injection and pumping proof with the water to simulate blood flow was conductedand demonstrated water jar from the left wall carotid artery injury. A diagnosis of acute carotid blowout syndrome was posed as cause of death.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
