Subadventitial rupture of the internal carotid artery

The author describes the case of a 21-year-old patient who contracted an injury of the internal carotid by collision with the tip of a metal rod. The injury led to the development of a sub-adventitial rupture of the carotid artery and its subsequent thrombosis. The patient was admitted to the Clinic 12 hours after he lost consciousness. CT examination of the brain did not reveal malacia. The patient was operated--resection of the injured portion of the carotid artery was performed, carotid thrombectomy and reconstruction of the artery. After surgery the patient improved rapidly and gradually his condition returned to normal.