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Delayed endovascular coil extrusion after embolisation for post-tonsillectomy haemorrhage: case report and literature review

Published online by Cambridge University Press:  03 December 2012

W Fassnacht ,
F Hammer ,
Q Gardiner  and
G Desuter
W Fassnacht
Affiliation:
Department of ENT, Head and Neck Surgery, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium, UK
F Hammer
Affiliation:
Department of Radiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium, UK
Q Gardiner
Affiliation:
ENT, Head and Neck Surgery Department, Ninewells Hospital and Medical School, NHS Tayside, University of Dundee, Scotland, UK
G Desuter*
Affiliation:
Department of ENT, Head and Neck Surgery, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium, UK
*
Address for correspondence: Prof G Desuter, ENT, Head and Neck Surgery Department, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, 10 Avenue Hippocrate, 1200 Brussels, Belgium E-mail: Gauthier.Desuter@uclouvain.be
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Abstract

Objective:

To report a rare case of delayed endovascular coil extrusion following embolisation of a lingual artery pseudoaneurysm.

Case report:

A 23-year-old woman presented with dysphagia and odynophagia 11 months after having experienced massive post-tonsillectomy haemorrhage. At that time, the bleeding had been stopped by embolisation of a lingual artery pseudoaneurysm and the external carotid artery. Clinical examination at admission showed extrusion of the embolisation coils in the lateral lower pharyngeal wall. The coils were removed under general anaesthesia in the presence of an interventional radiologist. The procedure and post-operative period were without complication and no bleeding was observed. The dysphagia and pain disappeared and the subsequent seven-month follow-up period was uneventful.

Conclusion:

Although selective embolisation is a safe and effective treatment for severe post-tonsillectomy haemorrhage, the possibility of delayed coil extrusion should be kept in mind.

Keywords

TonsillectomyHemorrhagePostoperative ComplicationsTherapeutic EmbolizationPseudoaneurysm
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 1 , January 2013 , pp. 88 - 91
Copyright
Copyright © JLO (1984) Limited 2012

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References

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