A rare cause of recurrent massive post-tonsillectomy bleed: facial artery pseudoaneurysm
1 Department of Otorhinolaryngology, Hospital Segamat, Johor, Malaysia
2 Department of Interventional Radiologist, Hospital Kuala Lumpur, Malaysia
3 Department of Otorhinolaryngology – Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, Malaysia
Correspondence: Dr Irfan Mohamad, Associate Professor, Department of Otorhinolaryngology – Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kelantan, Malaysia, tel.: 609-7676420, fax: 609-7676424, e-mail: irfankb@usm.my
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