Management of pseudo-aneurysm of a lateral aberrant internal carotid artery.

A 4-year old boy scheduled for insertion of ventilation tubes suffered significant aural hemorrhage following incision of the tympanic membrane. Examination under anaesthetic resulted in further hemorrhage. Investigation by carotid angiography revealed an anomalous internal carotid artery coursing through the middle ear with a small pseudoaneurysm. Subsequent management of this patient and review of the literature is presented.