Pseudoaneurysm of the Right Lingual Artery: An Unusual cause of Severe Hemorrhage during Tonsillectomy

Author:

Mitchell Ron B.1,Pereira Kevin D.1,Lazar Rande H.1,Long Tom E.1,Fournier Norman F.2

Affiliation:

1. Fellow in Pediatric Otolaryngology, Otolaryngology Consultants of Memphis, LeBonheur Childrens Medical Center, Memphis, Tennessee.

2. Staff Otolaryngologist, Otolaryngology Consultants of Memphis, LeBonheur Childrens Medical Center, Memphis, Tennessee.

Abstract

Profuse intraoperative hemorrhage is an uncommon complication of tonsillectomy. We present a three-year-old girl who underwent a routine adenotonsillectomy during which massive bleeding occurred from a large vessel in the right tonsillar fossae. Angiography revealed an aberrant right lingual artery with a pseudoaneurysm. The right lingual artery was embolized with multiple coils and the bleeding was halted. The causes and treatment of extracranial carotid artery pseudoaneurysms are discussed.

Publisher

SAGE Publications

Subject

Otorhinolaryngology

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1. Aneurysm of the lingual artery in a patient with fibromuscular dysplasia: A case report;Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology;2022-01

2. Glue embolization of a bleeding lingual artery pseudoaneurysm related to tongue surgery;Acta Chirurgica Belgica;2020-05-19

3. Intraoperative Complications;Misch's Avoiding Complications in Oral Implantology;2018

4. Bleeding after tonsillectomy;Operative Techniques in Otolaryngology-Head and Neck Surgery;2017-12

5. Recurrent post-tonsillectomy bleeding due to an iatrogenic facial artery pseudoaneurysm;Acta Oto-Laryngologica Case Reports;2017-01

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