ABS TRACT A foreign body sensation in the throat and difficulty swallowing are common complaints encountered in ear, nose, and throat practice.However, these symptoms can sometimes stem from causes that pose a life-threatening risk.This case highlights the importance of considering a tortuous internal carotid artery (ICA) in the differential diagnosis of pulsatile oropharyngeal masses.A 75-year-old male presented with persistent throat foreign body sensation.Oral and indirect laryngoscopic examination revealed a visible pulsatile bulge on the posterior pharyngeal wall.Imaging showed that the left ICA was tortuous and medially displaced toward the oropharynx.Because of the high risk of hemorrhage during intubation or oral procedures, no interventional treatment was performed.The patient was informed about the vascular anomaly and associated risks.His symptoms persisted only minimally during follow-up.Recognizing this condition is crucial to avoid potentially fatal complications during oropharyngeal interventions such as intubation or surgery.
ÖZDEMİR et al. (Thu,) studied this question.