Spontaneous Neck Hematoma in a Patient with Fibromuscular Dysplasia: A Case Report and a Review of the Literature

Background. Fibromuscular dysplasia (FMD) is a vascular disease that may present as aneurysms in the cervical arteries. Spontaneous neck hematoma is a rare life threatening medical condition. This is the first report of neck hematoma in a patient with FMD. Methods and Results. We present a case of a...

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Main Authors: Oded Cohen, Moshe Yehuda, Meital Adi, Yonatan Lahav, Doron Halperin
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2013/352830
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author Oded Cohen
Moshe Yehuda
Meital Adi
Yonatan Lahav
Doron Halperin
author_facet Oded Cohen
Moshe Yehuda
Meital Adi
Yonatan Lahav
Doron Halperin
author_sort Oded Cohen
collection DOAJ
description Background. Fibromuscular dysplasia (FMD) is a vascular disease that may present as aneurysms in the cervical arteries. Spontaneous neck hematoma is a rare life threatening medical condition. This is the first report of neck hematoma in a patient with FMD. Methods and Results. We present a case of a 69-year-old woman, with diagnosed cervical FMD and a 3-day history of sore throat and neck pain, who presented with enlarging neck hematoma. No active bleeding was noticed on CT angiography, airway was not compromised, and patient was managed conservatively. Next day, invasive angiography was performed, and no bleeding vessel was demonstrated. Patient has improved and was discharged after 5 days of hospitalization. We have discussed the different etiology of this condition, focusing on systemic vascular diseases. Conclusion. Complaint of neck pain in a patient with a FMD should raise suspicion for possible neck hematoma. Conversely, spontaneous neck hematoma without clear etiology should raise suspicion for a systemic vascular disease.
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spelling doaj-art-0fe29d94c77f42acadf2c3e7e49f5ab52025-08-20T02:02:32ZengWileyCase Reports in Otolaryngology2090-67652090-67732013-01-01201310.1155/2013/352830352830Spontaneous Neck Hematoma in a Patient with Fibromuscular Dysplasia: A Case Report and a Review of the LiteratureOded Cohen0Moshe Yehuda1Meital Adi2Yonatan Lahav3Doron Halperin4Department of Otolaryngology, Kaplan Medical Center, Rehovot, IsraelDepartment of Otolaryngology, Kaplan Medical Center, Rehovot, IsraelDepartment of Radiology, Kaplan Medical Center, Rehovot, IsraelDepartment of Otolaryngology, Kaplan Medical Center, Rehovot, IsraelDepartment of Otolaryngology, Kaplan Medical Center, Rehovot, IsraelBackground. Fibromuscular dysplasia (FMD) is a vascular disease that may present as aneurysms in the cervical arteries. Spontaneous neck hematoma is a rare life threatening medical condition. This is the first report of neck hematoma in a patient with FMD. Methods and Results. We present a case of a 69-year-old woman, with diagnosed cervical FMD and a 3-day history of sore throat and neck pain, who presented with enlarging neck hematoma. No active bleeding was noticed on CT angiography, airway was not compromised, and patient was managed conservatively. Next day, invasive angiography was performed, and no bleeding vessel was demonstrated. Patient has improved and was discharged after 5 days of hospitalization. We have discussed the different etiology of this condition, focusing on systemic vascular diseases. Conclusion. Complaint of neck pain in a patient with a FMD should raise suspicion for possible neck hematoma. Conversely, spontaneous neck hematoma without clear etiology should raise suspicion for a systemic vascular disease.http://dx.doi.org/10.1155/2013/352830
spellingShingle Oded Cohen
Moshe Yehuda
Meital Adi
Yonatan Lahav
Doron Halperin
Spontaneous Neck Hematoma in a Patient with Fibromuscular Dysplasia: A Case Report and a Review of the Literature
Case Reports in Otolaryngology
title Spontaneous Neck Hematoma in a Patient with Fibromuscular Dysplasia: A Case Report and a Review of the Literature
title_full Spontaneous Neck Hematoma in a Patient with Fibromuscular Dysplasia: A Case Report and a Review of the Literature
title_fullStr Spontaneous Neck Hematoma in a Patient with Fibromuscular Dysplasia: A Case Report and a Review of the Literature
title_full_unstemmed Spontaneous Neck Hematoma in a Patient with Fibromuscular Dysplasia: A Case Report and a Review of the Literature
title_short Spontaneous Neck Hematoma in a Patient with Fibromuscular Dysplasia: A Case Report and a Review of the Literature
title_sort spontaneous neck hematoma in a patient with fibromuscular dysplasia a case report and a review of the literature
url http://dx.doi.org/10.1155/2013/352830
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