Kissing carotids simulating prevertebral hematoma

Case contributed by Andrew Dixon


Fall. Exclude fracture.

Patient Data

Age: 85
Gender: Female

Cervical Spine CT


The common and internal carotid arteries ascend more medially than is usual and almost meet in the midline (kissing carotids). This causes apparent thickening of the prevertebral soft-tissues which could be misinterpreted by some readers as hematoma 

Case Discussion

Kissing carotids causing apparent thickening of the pre-vertebral soft-tissues which could be easily misinterpreted as prevertebral hematoma. No acute traumatic injury was identified. 

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