Chung BH, Lee MR, Yang JD, Yu HC, Hong YT, Hwang HP. Delayed pseudoaneurysm formation of the carotid artery following the oral cavity injury in a child: A case report. World J Clin Cases 2021; 9(16): 4104-4109 [PMID: 34141772 DOI: 10.12998/wjcc.v9.i16.4104]
Corresponding Author of This Article
Hong Pil Hwang, MD, PhD, Professor, Department of Surgery, Jeonbuk National University Hospital, Gungiro 20, Deok Jin Gu, Jeonju 54907, South Korea. h2p@jbnu.ac.kr
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 6, 2021; 9(16): 4104-4109 Published online Jun 6, 2021. doi: 10.12998/wjcc.v9.i16.4104
Delayed pseudoaneurysm formation of the carotid artery following the oral cavity injury in a child: A case report
Byeoung Hoon Chung, Mi Rin Lee, Jae Do Yang, Hee Chul Yu, Yong Tae Hong, Hong Pil Hwang
Byeoung Hoon Chung, Mi Rin Lee, Jae Do Yang, Hee Chul Yu, Hong Pil Hwang, Department ofSurgery, Jeonbuk National University Hospital, Jeonju 54907, South Korea
Byeoung Hoon Chung, Mi Rin Lee, Jae Do Yang, Hee Chul Yu, Yong Tae Hong, Hong Pil Hwang, Research Institute of Clinical Medicine, Jeonbuk National University, Jeonju 54907, South Korea
Byeoung Hoon Chung, Mi Rin Lee, Jae Do Yang, Hee Chul Yu, Yong Tae Hong, Hong Pil Hwang, Biomedical Research Institute, Jeonbuk University Hospital, Jeonju 54907, South Korea
Yong Tae Hong, Department ofOtolaryngology-Head-Neck-Surgery, Jeonbuk National University Hospital, Jeonju 54907, South Korea
Author contributions: Hong YT and Lee MR conducted data planning; Lee MR, Yang JD and Hwang HP structured the introduction and methods; Hwang HP, Chung BH, and Yu HC conducted visualization; Chung BH and Hwang HP wrote the manuscript; Yu HC and Hwang HP conducted review and editing.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare having no conflicts of interest in relation to these cases and their treatment or publication.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong Pil Hwang, MD, PhD, Professor, Department of Surgery, Jeonbuk National University Hospital, Gungiro 20, Deok Jin Gu, Jeonju 54907, South Korea. h2p@jbnu.ac.kr
Received: February 1, 2021 Peer-review started: February 1, 2021 First decision: March 11, 2021 Revised: March 15, 2021 Accepted: April 12, 2021 Article in press: April 12, 2021 Published online: June 6, 2021 Processing time: 102 Days and 7.8 Hours
Abstract
BACKGROUND
An impalement injury of the oral cavity is a common traumatic injury in children. In most cases, it is not accompanied by sequelae, but if foreign body residues are not found due to a minor injury, they may result in inflammatory responses and delayed vascular injuries in the surrounding tissues. Without early diagnosis and appropriate initial management, residual foreign bodies can cause serious complications and even mortality in some cases.
CASE SUMMARY
A 9-year-old boy suffered an intra-oral injury by a wooden chopstick, and the patient was discharged from the hospital after receiving conservative treatment for the injury. However, the patient was readmitted to the hospital due to intra-oral bleeding, and since neck hematoma and right internal carotid artery pseudoaneurysm formation were detected on computed tomography, emergency surgery was performed. A remnant fragment of a wooden chopstick was found during the operation, and a delayed rupture of the internal carotid artery caused by the foreign body was also found.
CONCLUSION
The failure of early detection and diagnosis of a residual foreign body may result in delayed vascular rupture.
Core Tip: Preschool children often provide inappropriate descriptions or cannot express their pain clearly, and if a foreign body is not visible on initial physical examination and a remnant foreign body remains hidden, it could be a high possibility of life-threatening complications and sequelae due to delayed diagnosis and treatment. This case report may provide an appropriate treatment for traumatic carotid artery injury in children.
