Alina Martín FERNANDES, Guilherme Marques RIOS, Filipa Armada FERREIRA, Daniela RIBEIRO, Miguel QUINTAS-NEVES, Miguel Sá BREDA
Turkish Archives of Otorhinolaryngology - 2026;64(2):122-125
Internal carotid artery rupture in the middle ear is very rare and can be life-threatening. We report the case of a 78-year-old male with a history of chronic otitis media who presented with spontaneous, high-volume otorrhagia. Computed tomography imaging revealed a dissection of the petrous segment of the internal carotid artery with an associated pseudoaneurysm. As the rupture of the pseudoaneurysm was considered the cause of otorrhagia, endovascular stenting was performed. After hospital admission for monitoring and antibiotic treatment, the patient underwent subtotal petrosectomy, with no further episodes of hemorrhage.
