Massive Epistaxis from Internal Carotid Pseudoaneurysm during Acute XXXX in a @entity1 with Nasopharyngeal Carcinoma.

@entity1 @entity64 @entity75 @entity1415 @entity3538 @entity6455 @entity11408 @entity3485 @entity543 @entity2849 @entity385
PURPOSE: Carotid blowout syndrome due to @entity3538 in @entity11408 @entity1 with prior neck radiation is an uncommon but life-threatening complication. Concomitant @entity543 with @entity385 and carotid rupture from @entity2849 is rare. CASE REPORT: A 71-year-old @entity1 had a history of @entity11408 treated with radiation therapy 26 years ago. He was admitted to the hospital because of minor @entity385 and tarry stool. The carotid duplex sonography disclosed severe @entity75 in the proximal right internal carotid artery. A subsequent recurrent @entity64 on day three associated with nasal cavity bleeding resulted in an endotracheal intubation. Another episodic of @entity1415 occurred on day 10 caused @entity3485 shock. @entity3538 was found by emergent angiography and was immediately obliterated by endovascular treatment with microcoils and glue. CONCLUSION: Carotid blowout syndrome in @entity11408 @entity1 during acute @entity385 warrants further cervical angiographic study. Endovascular treatment provides immediate hemostasis and obliteration of @entity6455 @entity2849 .
