{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T15:34:41Z","timestamp":1774452881917,"version":"3.50.1"},"reference-count":29,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,3,8]]},"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Aneurysms of the thyrocervical trunk are rare and often associated with trauma or underlying conditions such as neurofibromatosis type 1. Management guidelines do not exist for this aneurysm and there remains practice variation with some performing open ligation and repair and others performing endovascular coiling. We report a case of idiopathic thyrocervical trunk aneurysm which presented as a painful right-sided pulsatile neck mass. Diagnosis of the right thyrocervical trunk aneurysm was initially made via ultrasonography and subsequently confirmed with CT angiography. The patient was managed with endovascular coil embolisation of the inflow and outflow tracts of the aneurysm via right radial artery access. The patient was discharged post-operative day 1 with resolution of symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2025-271222","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T14:31:03Z","timestamp":1774449063000},"page":"e271222","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Idiopathic thyrocervical trunk aneurysm managed with endovascular coiling"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5935-997X","authenticated-orcid":false,"given":"Nicholas Jose","family":"Iglesias","sequence":"first","affiliation":[{"name":"DeWitt Daughtry Family Department of Surgery, University of Miami, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Cherfan","sequence":"additional","affiliation":[{"name":"DeWitt Daughtry Family Department of Surgery, University of Miami, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-Isabelle Sophia","family":"Reme","sequence":"additional","affiliation":[{"name":"DeWitt Daughtry Family Department of Surgery, University of Miami, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew Steven","family":"Sussman","sequence":"additional","affiliation":[{"name":"DeWitt Daughtry Family Department of Surgery, University of Miami, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"2026032507302584000_19.3.e271222.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(96)80090-6"},{"key":"2026032507302584000_19.3.e271222.2","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000011262","article-title":"Mini-invasive treatment of a large pseudoaneurysm of the neck related to central venous catheter placement: A case report","volume":"97","author":"Palermo","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"2026032507302584000_19.3.e271222.3","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/13.4.1009"},{"key":"2026032507302584000_19.3.e271222.4","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199605000-00015"},{"key":"2026032507302584000_19.3.e271222.5","doi-asserted-by":"publisher","DOI":"10.1177\/1538574406290075"},{"key":"2026032507302584000_19.3.e271222.6","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0020-1383(97)00163-0","article-title":"Aneurysm of the thyrocervical trunk after blunt cervical injury","volume":"29","author":"Houshian","year":"1998","journal-title":"Injury"},{"key":"2026032507302584000_19.3.e271222.7","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/6.10.747-a"},{"key":"2026032507302584000_19.3.e271222.8","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1111\/j.1540-8191.2011.01321.x","article-title":"Thyrocervical trunk pseudoaneurysm following central venous catheterization","volume":"26","author":"Mazzei","year":"2011","journal-title":"J Card Surg"},{"key":"2026032507302584000_19.3.e271222.9","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1097\/00007611-200194040-00004","article-title":"Traumatic pseudoaneurysm of the thyrocervical trunk","volume":"94","author":"Majeski","year":"2001","journal-title":"South Med J"},{"key":"2026032507302584000_19.3.e271222.10","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1007\/s00256-013-1607-6","article-title":"Post-traumatic pseudoaneurysm of the thyrocervical trunk","volume":"42","author":"Mehta","year":"2013","journal-title":"Skeletal Radiol"},{"key":"2026032507302584000_19.3.e271222.11","doi-asserted-by":"crossref","DOI":"10.12659\/AJCR.920196","article-title":"Superficial Stab Wound to Zone I of the Neck Resulting in Thyrocervical Trunk Pseudoaneurysm Presented as Recurrent Hemothorax and Successfully Managed by Coil Embolization","volume":"21","author":"Elkbuli","year":"2020","journal-title":"Am J Case Rep"},{"key":"2026032507302584000_19.3.e271222.12","article-title":"A complication of the transradial approach: thyrocervical trunk pseudoaneurysm with hemothorax","volume":"9","author":"El Naamani","year":"2023","journal-title":"BJR Case Rep"},{"key":"2026032507302584000_19.3.e271222.13","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1097\/MCA.0000000000000484","article-title":"Pseudoaneurysm of the thyrocervical trunk after coronary intervention from the right radial approach","volume":"28","author":"Alpay","year":"2017","journal-title":"Coron Artery Dis"},{"key":"2026032507302584000_19.3.e271222.14","doi-asserted-by":"crossref","DOI":"10.3390\/medicina61010049","article-title":"Successful Management of Thyrocervical Trunk Aneurysm Ruptured into the Thoracic Cavity After Cesarean Section in Nonstable Patient with Neurofibromatosis Type I","volume":"61","author":"Mirkovi\u0107","year":"2024","journal-title":"Medicina (Kaunas)"},{"key":"2026032507302584000_19.3.e271222.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.carpath.2006.01.004"},{"key":"2026032507302584000_19.3.e271222.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvsextra.2010.12.002"},{"key":"2026032507302584000_19.3.e271222.17","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1093\/icvts\/ivz033","article-title":"A tale of two bleeds-an uncommon manifestation in neurofibromatosis-1","volume":"29","author":"Elamurugan","year":"2019","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2026032507302584000_19.3.e271222.18","doi-asserted-by":"crossref","unstructured":"Anpalakhan S , Alluri R , Douglas JG , et al . An unusual cause of a mediastinal mass. BMJ Case Rep 2013;2013. doi:10.1136\/bcr-2012-007978","DOI":"10.1136\/bcr-2012-007978"},{"key":"2026032507302584000_19.3.e271222.19","article-title":"Extracranial Vertebral Artery Aneurysm With Neurofibromatosis Type 1: The Effectiveness of Endovascular Intervention","volume":"16","author":"Fujiwara","year":"2024","journal-title":"Cureus"},{"key":"2026032507302584000_19.3.e271222.20","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.avsg.2017.06.146","article-title":"Three Extremely Rare Findings in the Same Patient: Harlequin Syndrome, Thyrocervical Trunk Aneurysm, and Systemic-Pulmonary Arterio-Arterial Fistula","volume":"45","author":"G\u00f3es Junior","year":"2017","journal-title":"Ann Vasc Surg"},{"key":"2026032507302584000_19.3.e271222.21","doi-asserted-by":"publisher","DOI":"10.1007\/s100169910121"},{"key":"2026032507302584000_19.3.e271222.22","first-page":"565","article-title":"Aneurysm of the thyrocervical trunk","volume":"158","author":"Karanjia","year":"1992","journal-title":"Eur J Surg"},{"key":"2026032507302584000_19.3.e271222.23","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1055\/s-2007-1023443","article-title":"Aneurysm of the inferior thyroid artery and the thyreocervical trunk. Report of four cases","volume":"29","author":"Ketonen","year":"1981","journal-title":"Thorac Cardiovasc Surg"},{"key":"2026032507302584000_19.3.e271222.24","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00513-X"},{"key":"2026032507302584000_19.3.e271222.25","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.08.004"},{"key":"2026032507302584000_19.3.e271222.26","doi-asserted-by":"crossref","first-page":"363","DOI":"10.4103\/0971-9784.179621","article-title":"Hybrid treatment of a true thyreocervical trunk aneurysm in a patient with Type B aortic dissection","volume":"19","author":"Baikoussis","year":"2016","journal-title":"Ann Card Anaesth"},{"key":"2026032507302584000_19.3.e271222.27","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.ejogrb.2019.04.029","article-title":"Splenic artery aneurysms during pregnancy: An obstetric nightmare","volume":"237","author":"Wiener","year":"2019","journal-title":"European Journal of Obstetrics & Gynecology and Reproductive Biology"},{"key":"2026032507302584000_19.3.e271222.28","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1016\/j.ajem.2016.12.035","article-title":"Splenic artery aneurysm rupture in pregnancy","volume":"35","author":"Jacobson","year":"2017","journal-title":"Am J Emerg Med"},{"key":"2026032507302584000_19.3.e271222.29","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1177\/1753495X18782627","article-title":"Management of aortic aneurysm presenting during pregnancy: A case report","volume":"13","author":"Keepanasseril","year":"2020","journal-title":"Obstet Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-271222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T14:31:09Z","timestamp":1774449069000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-271222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":29,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3,25]]},"published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1136\/bcr-2025-271222"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-271222","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]}}}