case_images: PMC5869802_01
case_images: Right neck wound with intermittent bleeding
case_images: IJCIIS-8-48-g001.jpg
case_images: PMC5869802_01_IJCIIS-8-48-g001.jpg
case_images: F1
case_images: The bleeding eventually stopped, but suddenly occurred again the night of her arrival to our hospital [Figure 1].
case_images: Computed tomography angiograph showing partially thrombosed pseudoaneurysm with tract containing gas and fluid extending to the skin surface
case_images: IJCIIS-8-48-g002.jpg
case_images: PMC5869802_01_IJCIIS-8-48-g002.jpg
case_images: F2
case_images: Her vital signs were normal and her hemoglobin was 11.5 on arrival and hence, we ordered a CT angiograph (CTA)-head-and-neck with showed a partially thrombosed PA in the region of her right common carotid artery bifurcation with a tract containing gas and fluid extending to the skin surface suspicious for a partially thrombosed, leaking PA [Figure 2].
case_images: Explanation of a chronically infected polyethylene terephthalate patch and a probe traversing a right carotid-cutaneous fistula
case_images: IJCIIS-8-48-g003.jpg
case_images: PMC5869802_01_IJCIIS-8-48-g003.jpg
case_images: F3
case_images: She was taken urgently to the operating room on broad spectrum antibiotics where we performed a right neck exploration, ligation of a bleeding carotid PA by ligation of the right common, internal, and external carotid arteries, explantation of a chronically infected polyethylene terephthalate patch, and closure with a sternocleidomastoid advanced flap with multilayered closure [Figure 3].