Repeated Medical PG Question- 75

#SURGERY (NEET Pattern)

A middle-aged man presents with a swelling over the neck region since childhood.The swelling has a typical “Bag of worms” appearance. On auscultation, bruit was heard over the swelling.The most appropriate diagnosis is ?

A. Varicocele

B. Cirsoid aneurysm 

C. Plexiform neurofibroma 

D. Toxic nodular goitre 

Answer: B -> Cirsoid aneurysm.  

Cirsoid aneurysm:

• Rare arterio-venous fistulas of the scalp and extremities. 

• Develop due to an abnormal arteriovenous connection to the superficial veins. 

• Most commonly congenital, although post-traumatic cirsoid aneurysms have been described.

• In 90% cases, superficial temporal artery is the main supply to the fistula. 

• Treatment options include endovascular occlusion, surgical resection or direct injection of sclerosing agents.