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Clinical Challenge | Endoscopy

A Submucosal Retropharyngeal Pulsatile Mass QUIZ

Armando De Virgilio, MD1,2; Antonio Greco, MD1; Marco de Vincentiis, MD1
[+] Author Affiliations
1Department of Sense Organs, Ear, Nose, and Throat Section, “Sapienza” University of Rome, Rome, Italy
2Department of Surgical Science, Sapienza University of Rome, Rome, Italy
JAMA Otolaryngol Head Neck Surg. 2015;141(11):1027-1028. doi:10.1001/jamaoto.2015.2398.
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A woman in her 70s had a dry cough, foreign body sensation in the throat, and mild dysphagia; mild bilateral hyperemia was noted; and a submucosal pulsatile mass was clearly visible in the right retropharyngeal area. What is your diagnosis?

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A and B, Endoscopic examination of the oropharynx revealing a submucosal pulsatile mass in the right retropharyngeal area. C, Three-dimensional reconstruction. Abnormal medial course of the right internal carotid artery (arrow). D, T1-weighted gradient echo. Aberrant internal carotid artery in the retropharyngeal space.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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Video Endoscopy of the Oropharynx: Submucosal Pulsatile Mass in the Right Retropharyngeal Space

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