A rare case of spontaneous carotid sheath abscess presenting as a painful neck mass

Ahmad Tabatabaeishoorijeh, Bright Benfor, Simon J. Montelongo, Eric K. Peden

Research output: Contribution to journalArticlepeer-review

Abstract

Infections of the carotid arteries and sheath without any underlying etiology are extremely uncommon. In this article, we report the successful open repair of a right carotid sheath abscess in a 71-year-old woman with multiple comorbidities. The repair consisted of excision of the affected carotid segment and reconstruction by interposition of a reversed great saphenous vein graft. Postoperative Doppler ultrasound examination showed patent right carotid artery, and the patient demonstrated no recurrence postoperatively. This case suggests that, although rare, spontaneous carotid sheath remains a possible cause of neck mass, warranting high suspicion index for optimal treatment in a timely manner to avoid further complications.

Original languageEnglish (US)
Article number101591
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume10
Issue number6
DOIs
StatePublished - Dec 2024

Keywords

  • Abscess
  • Carotid artery
  • Carotid artery infection
  • Carotid artery repair
  • Carotid sheath
  • Neck mass

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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