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Massive haematemesis complicated with an acute ischaemic stroke due to internal carotid artery pseudoaneurysm

Year: 2025

Type: article

Abstract: Haematemesis, commonly associated with upper gastrointestinal disorders, can rarely result from cranial vascular anomalies like internal carotid artery aneurysms (ICAAs). ICAA rupture may cause fatal nasopharyngeal epistaxis, with swallowed blood presenting as hematemesis, posing a diagnostic challenge. We report a 75-year-old woman with life-threatening haematemesis, epistaxis, and right hemiplegia. Despite negative findings from otolaryngological and gastrointestinal evaluations, CT angiography identified a left internal carotid pseudoaneurysm. This case emphasizes the importance of considering cranial vascular anomalies in patients with unexplained epistaxis and haematemesis. Endovascular stent embolisation is recommended for managing ICAAs while preserving arterial integrity.

Source: Asian Journal of Internal Medicine

DOI: 10.4038/ajim.v4i1.232

Authors: M. S. P. K. Fernando, G. Selvarathnam, J. Pradeepan, V. Sujanitha, N. Rajendran

Language: English

Topic: Intracranial Aneurysms: Treatment and Complications

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4408311176

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