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  • Title: [A Case of Pseudoaneurysm of the Lingual Artery that was Difficult to be Distinguished from Epistaxis].
    Author: Sumita K, Karakama J, Makita I, Miki K, Yoshino Y, Yoshimura M, Maehara T, Nemoto S.
    Journal: No Shinkei Geka; 2018 Oct; 46(10):911-916. PubMed ID: 30369494.
    Abstract:
    We describe the case of a 75-year-old man with pharyngeal hemorrhage caused by a pseudoaneurysm of the lingual artery after accidentally swallowing his dentures. He developed sudden oral and nasal hemorrhage and was transported to a hospital near his residence. The doctors at the hospital diagnosed the case as epistaxis and treated the symptom with nasal packing. However, the bleeding did not stop and his blood pressure decreased. He was then transported to our hospital. We assumed that the bleeding was caused by epistaxis from branches of the internal maxillary artery, and tried to stop bleeding with the endovascular treatment using coils or liquid embolus materials. Angiography showed a pseudoaneurysm of the lingual artery. Coil embolization against the artery was effective in controlling bleeding. Correct diagnosis and appropriate treatments based on the correct diagnosis are essential in this case of swallowed dentures and bleeding of pseudoaneurysm of the lingual artery.
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