A rare cause of recurrent massive post-tonsillectomy bleed: facial artery pseudoaneurysm
Sivanes Chandrashekaran1, Nik Azrizie Muhamed1, Lau Jia Him2, Irfan Mohamad3
Affiliation and address for correspondence
Pediatr Med Rodz 2019, 15 (4), p. 434–436
DOI:
10.15557/PiMR.2019.0077
Abstract
Post-tonsillectomy haemorrhage is a potentially serious and sometimes fatal complication. It is commonly caused by infection or premature separation of membrane granulation tissue. Conventional haemostatic measures, such as ice water gargles, electrocautery or surgical ligation, usually will control the bleeding. We report a case of a delayed recurrent massive post-tonsillectomy bleeding resistant to usual measures, which required external carotid ligation. Computed tomography angiogram performed later revealed a pseudoaneurysm of the facial artery, which was successfully controlled with endovascular embolisation of the left facial artery.
Keywords
recurrent post-tonsillectomy bleeding, pseudoaneurysm, facial artery
