Open AccessHigh riding of brachiocephalic artery: A rare case of pulsatile anterior neck mass
Author(s) -
Bao Ling Wong,
Shashi Gopalan,
Muhammad Nasri Abu Bakar,
Ming Huei Wong
Publication year - 2017
Publication title -
egyptian journal of ear nose throat and allied sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.108
H-Index - 8
eISSN - 2090-3405
pISSN - 2090-0740
DOI - 10.1016/j.ejenta.2017.07.006
Subject(s) - medicine , brachiocephalic artery , neck mass , pulsatile flow , radiology , otorhinolaryngology , differential diagnosis , biopsy , surgery , cardiology , pathology , aortic arch , aorta
Anterior neck swellings are common presentations that are seen in otorhinolaryngology clinics. We presented a rare diagnosis of pulsatile anterior neck swelling where a high riding brachiocephalic artery needs to be considered as a differential diagnosis. This 54-year-old lady presented with anterior neck swelling for one year which appear to be pulsatile, soft and non-tender mass. Ultrasound and Doppler scan, contrast-enhanced computed tomography (CECT) scan revealed that the neck swelling corresponds to the high riding brachiocephalic artery. Hence, ultrasound scan is essential to detect any vascular lesion prior to biopsy or fine needle aspiration cytology as to avoid catastrophic hemorrhage