Post-tonsillectomy hemorrhage due to pseudo-aneurysm of the facial and lingual arteries successfully managed by multidisciplinary approach: a case report
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20253823Keywords:
Post-tonsillectomy hemorrhage, Pseudoaneurysm, Facial artery, Lingual artery, Aberrant ophthalmic artery, Endovascular stenting, Oropharyngeal bleedingAbstract
Post-tonsillectomy hemorrhage (PTH) is a potentially life-threatening complication, often arising from arterial injury. We report a rare case of massive bleeding from the left tonsillar fossa following tonsillectomy in an 18-year-old male, secondary to a pseudo-aneurysm involving the lingual and facial arteries. The patient was successfully managed with endovascular covered graft placement due to the presence of an Aberrant ophthalmic artery, which precluded embolization. This case highlights the importance of early recognition of vascular injuries and individualized endovascular strategies in managing severe oronasal hemorrhage.
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