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...

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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
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325005643
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author Kenza Berrada
Ibtissam El Ouali
Abdelkader Squali
Meryem Fikri
Mohamed Jiddane
Firdaous Touarsa
author_facet Kenza Berrada
Ibtissam El Ouali
Abdelkader Squali
Meryem Fikri
Mohamed Jiddane
Firdaous Touarsa
author_sort Kenza Berrada
collection DOAJ
description 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.
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id doaj-art-5a9d39a081b048a0a8fe300ac3a767d2
institution Kabale University
issn 1930-0433
language English
publishDate 2025-10-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-5a9d39a081b048a0a8fe300ac3a767d22025-08-20T03:50:22ZengElsevierRadiology Case Reports1930-04332025-10-0120104881488410.1016/j.radcr.2025.06.019Unusual sequela of neck trauma: External carotid pseudoaneurysm and jugular fistulaKenza Berrada0Ibtissam El Ouali1Abdelkader Squali2Meryem Fikri3Mohamed Jiddane4Firdaous Touarsa5Department of Neuroradiology, Specialties Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco; Corresponding author.Department of Radiology, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Neuroradiology, Specialties Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Neuroradiology, Specialties Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Neuroradiology, Specialties Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoCarotid-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.http://www.sciencedirect.com/science/article/pii/S1930043325005643Cervical traumaVascular complicationsPseudoaneurysmCarotid jugular fistulaCT
spellingShingle Kenza Berrada
Ibtissam El Ouali
Abdelkader Squali
Meryem Fikri
Mohamed Jiddane
Firdaous Touarsa
Unusual sequela of neck trauma: External carotid pseudoaneurysm and jugular fistula
Radiology Case Reports
Cervical trauma
Vascular complications
Pseudoaneurysm
Carotid jugular fistula
CT
title Unusual sequela of neck trauma: External carotid pseudoaneurysm and jugular fistula
title_full Unusual sequela of neck trauma: External carotid pseudoaneurysm and jugular fistula
title_fullStr Unusual sequela of neck trauma: External carotid pseudoaneurysm and jugular fistula
title_full_unstemmed Unusual sequela of neck trauma: External carotid pseudoaneurysm and jugular fistula
title_short Unusual sequela of neck trauma: External carotid pseudoaneurysm and jugular fistula
title_sort unusual sequela of neck trauma external carotid pseudoaneurysm and jugular fistula
topic Cervical trauma
Vascular complications
Pseudoaneurysm
Carotid jugular fistula
CT
url http://www.sciencedirect.com/science/article/pii/S1930043325005643
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