Illustrative CasesA Giant Pseudoaneurysm Mimicking Retropharyngeal Abscess in a ChildGupta, Rijuneeta MS*; Patro, Sourabha K. MS, DNB, MNAMS*†; Chauhan, Neha MS*; Kumar, Ajay MD‡Author Information From the Departments of *Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh; †Otolaryngology and Head and Neck surgery, ANIIMS, Port Blair; and ‡Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Disclosure: The authors declare no conflict of interest. Reprints: Rijuneeta Gupta, MS, Department of Otolaryngology, Head and Neck surgery Post Graduate Institute of Medical Education and Research, Chandigarh, India 160012 (e-mail: [email protected]). Pediatric Emergency Care: May 2019 - Volume 35 - Issue 5 - p e79-e83 doi: 10.1097/PEC.0000000000001100 Buy Metrics Abstract Pseudoaneurysms of the cervical internal carotid artery are rare and usually result from trauma, infection, or rarely spontaneously. They harbor potential risk of life-threatening hemorrhage and warrant immediate management. Endovascular treatment in the form of stent placement and coiling is a well established technique for dealing with both intracranial and extracranial pseudoaneurysms. We present a case of a child who presented with fever, neck swelling, dysphagia, and respiratory distress in emergency for which clinical diagnosis of a neck abscess was made. Intubation was not possible because of bulge in the retropharyngeal wall. An elective tracheotomy was planned with imaging of the neck. Imaging and careful planning to avoid incision and drainage in the initial presentation led us to diagnose a pseudoaneurysm and successful management. We present this case to highlight the importance of early recognition and timely meticulous management to avoid serious complications and morbidity in a child. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.