Pulsatile Neck Swelling: A High Riding Brachiocephalic Trunk with Retropharyngeal Internal Carotid Artery - Case Report

Nitish Kumar, Vikas Kumar, Daphylla Shisha Phanbuh, Ravi Meher, Vikram Wadhwa, Prakhar Goel

Abstract: Anatomical variations in the branching of brachiocephalic trunk have been classified previously and similarly has been described the variations of the course of internal carotid artery including its retropharyngeal location; although their occurrence together is rare and seldom described. Here we report such a rare case of co-existing high riding brachiocephalic trunk presenting as anasymptomaticpulsatile antero-lateral neck swelling in a 55-year-old female detected using screening ultrasound with doppler examination and incidentally detected retropharyngeal right internal carotid artery diagnosed using contrast enhanced computed tomography of neck; Thus, highlighting the importance of screening and assessment of these variations in surgical procedures of neck due to surgical challenges and potential possibility of catastrophic bleeding associated with them.

Keywords: Pulsatile neck mass

How to Cite?: Nitish Kumar, Vikas Kumar, Daphylla Shisha Phanbuh, Ravi Meher, Vikram Wadhwa, Prakhar Goel, "Pulsatile Neck Swelling: A High Riding Brachiocephalic Trunk with Retropharyngeal Internal Carotid Artery - Case Report", Volume 11 Issue 10, October 2022, International Journal of Science and Research (IJSR), Pages: 912-915, https://www.ijsr.net/getabstract.php?paperid=SR221018005426, DOI: https://dx.doi.org/10.21275/SR221018005426