Massive primary hemorrhage during tonsillectomy from a large venous varicosity

Burstin, Perry P.; Hooper, Robin

doi:10.1016/s0194-5998(97)70188-8

Cited by 6 publications

(7 citation statements)

References 7 publications

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“…5) was found dead after vomiting approximately 1200 ml of fresh blood (total blood volume: 1790 ml based on an 80 ml/kg calculation [2]). A comparable amount has been shown not to be life-threatening in an adult [31].…”

Section: Discussionmentioning

confidence: 88%

“…2). Bleeding episodes repeated up to six times (mean: 2.7 times; sive (56), major (31), minor (15), diffuse (12), spontaneous cessation (19) or vomiting of considerable amounts of blood (16). The latest bleeding episode was registered 58 days after surgery (mean: 9.3; median: 8; S.D.…”

Section: Resultsmentioning

confidence: 99%

“…2,5,9,16,31,34,43) emphasizing the need of a readily available rigid suction instrument as part of an adequate treatment. A necrotic wound infection was confirmed in one single patient (no.…”

Section: Discussionmentioning

confidence: 99%

“…Primary hemorrhage (<24 h) was reported for three, secondary bleeding (>24 h) for 52 children (94.5%). A total of 169 bleeding episodes was reported of whom 149 were specified as massive (56), major (31), minor (15), diffuse (12), with spontaneous cessation (19) or vomiting of considerable amounts of blood (16). Aspiration was confirmed at the autopsy of seven patients.…”

Section: Introductionmentioning

confidence: 99%

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Serious post-tonsillectomy hemorrhage with and without lethal outcome in children and adolescents

Windfuhr¹,

Schloendorff²,

Baburi³

et al. 2008

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 88%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Serious post-tonsillectomy hemorrhage with and without lethal outcome in children and adolescents

Windfuhr¹,

Schloendorff²,

Baburi³

et al. 2008

International Journal of Pediatric Otorhinolaryngology

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“…1 Primary hemorrhage and reactionary hemorrhage occur during the procedure or within the first 24 hours, and secondary hemorrhage or late postoperative bleeding is that which usually occurs between the 1st to the 10th postoperative day. 2 Most fatal hemorrhages occur within the first 24 hours postoperatively, but secondary hemorrhages are usually mild.…”

Section: Discussionmentioning

confidence: 99%

Aberrant Course of the Internal Carotid Artery in Surgery of Adenoids and Tonsils

Banjar¹,

Hussain²,

Haoumi³

et al. 2002

Ann Saudi Med

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Tonsillectomy and adenoidectomy are among the most common operations performed woldwide. Improvements in anesthesia and surgical techniques over the years have made these operations relatively safe, yet the potential exists for serious complications and even death if the surgeon fails to recognize arterial abnormalities and variations such as the aberrant course of the internal carotid artery. We present a case of an aberrant course of the internal carotid artery which was discovered during adenotonsillectomy in a seven-year-old boy. The significance of the condition and its recognition are discussed. Otolaryngologists should be cognisant of such abnormalities and the serious complications they may cause. Case ReportA seven-year-old boy with a history of recurrent adenotonsillitis was admitted for adenotonsillectomy under general anesthesia. There was no history of systemic disease, previous surgery or bleeding tendency. Clinical examination was unremarkable except the tonsils which were enlarged. Pre-operative investigations including coagulation profile were within normal limits.The operation was performed under general anesthesia with endotracheal tube. The adenoid was removed by currette, but excessive bleeding was encountered after the operation. Temporary application of nasopharyngeal pack for about 10 minutes was necessary to control the bleeding. During re-examination of the post-nasal space, a pulsating mass was seen extending from the upper pole of the left tonsil to the base of the skull. Tonsillectomy was not performed and the procedure was terminated in order to avoid injury. The patient had an uneventful postoperative course and the relatives were informed about the intraoperative findings. Angiography and magnetic resonance (MR) imaging revealed an aberrant course of the internal carotid artery (Figure 1).

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Congenital jugular vein phlebectasia

et al. 2005

American Journal of Otolaryngology

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Massive primary hemorrhage during tonsillectomy from a large venous varicosity

Cited by 6 publications

References 7 publications

Serious post-tonsillectomy hemorrhage with and without lethal outcome in children and adolescents

Serious post-tonsillectomy hemorrhage with and without lethal outcome in children and adolescents

Aberrant Course of the Internal Carotid Artery in Surgery of Adenoids and Tonsils

Congenital jugular vein phlebectasia

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