血管医学および外科ジャーナル

概要

A Rare Case of Haemangioma around Common Carotid Artery

Anismita Das*, Ajay Dayma, Ashwini Kumar Seelam

Background: Haemangioma are benign neoplasms derived from blood vessels which multiply at an abnormal rate and form a mass or lump. Most Haemangioma common in infant and also common in female than male. They can occur throughout the body, including in skin, muscle, bone, and internal organs. It mostly occur on the surface of the skin or just beneath it. They often develop on the face and neck, and can vary greatly in colour, shape, and size. Deep Haemangioma tends to grow later and longer than superficial ones. Patients often remain asymptomatic or present with nonspecific symptoms, such as headache. This is the first Haemangioma to be reported as encircled the common carotid artery. Carotid sheath Haemangioma may be easily misdiagnosed as arterial aneurysms, neurogenic tumors, paragangliomas, or lymphatic masses.

Case presentation: We report a case of Haemangioma in a 33 years female, who presented with gradually progressive swelling at lateral side of left neck for 7 years. She also complained of pain in the left side of face, neck and hand for 15 days. Mass presented from the carotid bifurcation to superior mediastinum. The diagnosis couldn’t be stated on the basis of history, clinical and radiological examination findings.

Results: Successful surgical excision of the Haemangioma is performed with precise dissection which engulfed common carotid artery. Histopathological examination confirms the diagnosis of haemangioma.

Conclusion: A rare case of haemangioma presented with circumferentially encased common carotid artery from carotid bifurcation to superior mediastinum. Haemangioma was successfully excised without any surgical complication.