The dangers of kite flying: pseudoaneurysm of the facial artery following blunt trauma

Abstract

OBJECTIVE: Pseudoaneurysms of the facial artery are an extremely rare development after blunt trauma. This paper aims to demonstrate the challenges faced during the diagnosis and subsequent management of this unusual cause of neck swelling. METHOD: We report the presentation, examination, investigation, management and potential complications of a case of facial artery pseudoaneurysm secondary to blunt arterial trauma, sustained from the string of a flying kite. We also review some of the relevant literature on this subject. CONCLUSIONS: Although a traumatic pseudoaneurysm is a rare occurrence in the facial region, the inclusion of this lesion in the differential diagnosis of soft tissue lesions caused by blunt trauma is important if the serious consequences of haemorrhage or thromboembolic disease are to be avoided. Prompt access to radiological imaging, and multi-disciplinary team input, are essential for effective diagnosis and management.