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Case Reports in Medicine
Volume 2012, Article ID 391940, 4 pages
Case Report

An Unusual Cause of a Pain in the Neck: Pseudoaneurysm from Tuberculous Lymphadenitis

1Department of Respiratory Medicine, Mercy University Hospital, Grenville Place, Cork, Ireland
2Department of Radiology, Mercy University Hospital, Grenville Place, Cork, Ireland

Received 27 March 2012; Accepted 1 August 2012

Academic Editor: Aaron S. Dumont

Copyright © 2012 B. Kennedy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A pseudoaneurysm is a haematoma which is surrounded by connective tissue and communicates with the lumen of a ruptured blood vessel. It has no true defined capsule. We describe a case of tuberculous pseudoaneurysm. This is a rare complication of tuberculosis. The clinical presentation of these lesions is highly variable. Definitive diagnosis should consist of contrast-enhanced CT and arteriography. Treatment should include repair of the arterial wall by surgery, endovascular stent-graft insertion, or embolization followed by a full course of antituberculous chemotherapy. Our case is highly unusual in that the pseudoaneurysm arose from the subclavian vasculature in a patient with extrapulmonary tuberculosis only.