High riding of brachiocephalic artery: A rare case of pulsatile anterior neck mass

Publication date: Available online 11 December 2017
Source:Egyptian Journal of Ear, Nose, Throat and Allied Sciences
Author(s): Bao Ling Wong, Shashi Gopalan, Muhammad Nasri Abu Bakar, Ming Huei Wong
Anterior neck swellings are common presentations that are seen in otorhinolaryngology clinics. We presented a rare diagnosis of pulsatile anterior neck swelling where a high riding brachiocephalic artery needs to be considered as a differential diagnosis. This 54-year-old lady presented with anterior neck swelling for one year which appear to be pulsatile, soft and non-tender mass. Ultrasound and Doppler scan, contrast-enhanced computed tomography (CECT) scan revealed that the neck swelling corresponds to the high riding brachiocephalic artery. Hence, ultrasound scan is essential to detect any vascular lesion prior to biopsy or fine needle aspiration cytology as to avoid catastrophic hemorrhage.



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