  |
|
 |
|
Case Report
| ||||||
| Clamping of external carotid artery rather than embolization during surgical removal of a huge carotid body tumor | ||||||
| Abubakr Hashim Elrofaie Sayed Ali1, Saif Eldin Mohammed Ali Ibrahim2, Ashraf Mohamed Mokhtar Ali3 | ||||||
|
1MBBS, Ibn Sina Specialized Hospital - Senior House-officer, Unit of Vascular and Endovascular Surgery, Ibn Sina Specialized Hospital, Khartoum, Sudan.
2MBBS, MD, MRCS (ENG); D.MAS; F.MAS; F. Vasc/Endovasc (MAL), Ibn Sina Specialized Hospital - Head, Unit of Vascular and Endovascular Surgery, Ibn Sina Specialized Hospital, Khartoum, Sudan. 3MBBS, MD General Surgeon, Ibn Sina Specialized Hospital - Specialist, Unit of Vascular and Endovascular Surgery, Ibn Sina Specialized Hospital, Khartoum, Sudan. | ||||||
| ||||||
|
[HTML Full Text]
[PDF Full Text]
[Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar] 
|
| How to cite this article |
| Ali AHES, Ibrahim SEM, Ali AMM. Clamping of external carotid artery rather than embolization during surgical removal of a huge carotid body tumor. Int J Case Rep Images 2015;6(1):6–10. |
|
Abstract
|
|
Introduction:
Carotid body tumors (CBT) are neoplasms that develop in the carotid body and are usually benign tumors. Malignant forms are less frequently. Carotid body tumors are widely known as paragangliomas. The carotid body is a gland located behind the carotid artery at the site of its bifurcation on either sides of the neck and originates from the neural crest and acts as a peripheral chemoreceptor.
Case Report: A 42-year-old female presented with progressively enlarging neck swelling over five years which was associated with a recent difficulty in swallowing and hoarseness of voice. On examination there was anterolateral pulsatile neck swelling, ovoid in shape, about 6×6×7 cm in size, mobile from side to side only and firm in consistency. Computed tomography angiography (CTA) and magnetic resonance angiography (MRA) showed a mass arising at the bifurcation of common carotid artery (CCA), which has rich blood supply, splaying the external carotid artery (ECA). Blood test for vanillylmandelic acid (VMA) was negative. The patient underwent surgical excision of the tumor through an endarterectomy approach after clamping of the ECA. We report this case where clamping of ECA is being applied rather than endovascular embolization of the feeding vessels to minimize bleeding during removal of the tumor, to avoid embolization related complications and to lessen the cost of the procedure. Conclusion: Carotid body tumors are rare, however, early diagnosis and prompt treatment is essential. In a large tumor, preoperative endovascular embolization is widely used for devascularization. Clamping of the external carotid artery is a good alternative way to avoid embolization related complication with better control of bleeding, less operative time and improved cost-effectiveness. | |
|
Keywords:
Carotid body tumor, Endarterectomy approach, Glomus gland, External carotid artery clamping, Paraganglioma
| |
|
[HTML Full Text]
[PDF Full Text]
|
|
Author Contributions
Abubakr Hashim Elrofaie Sayed Ali – Acquisition of data, Drafting the article, Final approval of the version to be published Saif-Eldin Mohamed Ali Ibrahim – Conception and design, Critical revision of the article, Final approval of the version to be published Ashraf Mohamed Mokhtar Ali – Conception and design, Critical revision of the article, Final approval of the version to be published |
|
Guarantor of submission
The corresponding author is the guarantor of submission. |
|
Source of support
None |
|
Conflict of interest
Authors declare no conflict of interest. |
|
Copyright
© 2015 Abubakr Hashim Elrofaie Sayed Ali et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
|
|
|
About The Authors
| |||
| |||
| |||
| |||
