phenylephrine-hydrochloride and Aortic-Dissection

We report the case of a 69-year-old male patient who appeared in our clinic with persistent swelling on the right middle nasal bridge of 3 months' standing following blunt trauma. On physical examination the swelling was pulsatile and a flow was identified on color Doppler sonography. MRT of the head demonstrated an aneurysm of the dorsal nasal artery. We treated the aneurysm in an open surgical procedure under local anaesthesia. Due to the superficial position of this artery, open injuries are common after blunt nasal trauma. Some cases of aneurysm of the temporal artery have been described. Aneurysm of the dorsal nasal artery is a rare result of nasal trauma.

Topics: Aged; Aortic Dissection; Arteries; Humans; Magnetic Resonance Angiography; Male; Nose; Pulsatile Flow; Ultrasonography, Doppler, Color; Wounds, Nonpenetrating