Related Experiment Video
Updated: Jun 14, 2026

05:07
CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Spontaneous tonsillar hemorrhage and post-tonsillectomy hemorrhage
Yeon Soo Kim1, Seok Jin Hong, June Choi
1Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Clinical and Experimental Otorhinolaryngology
|April 10, 2010
Summary
Spontaneous tonsillar hemorrhage is rare but potentially life-threatening. Tonsillectomy may be necessary for severe or recurrent bleeding, especially if malignancy is suspected.
Area of Science:
- Otolaryngology
- Surgical Complications
Background:
- Spontaneous tonsillar hemorrhage from infection is exceptionally rare.
- Hemorrhage following tonsillectomy, while uncommon, is an acknowledged surgical risk.
Purpose of the Study:
- To present the management of a patient experiencing both spontaneous and post-tonsillectomy hemorrhage.
- To discuss the clinical implications and treatment strategies for severe tonsillar bleeding.
Main Methods:
- Case report of a 42-year-old male with severe spontaneous tonsillar hemorrhage and subsequent post-tonsillectomy hemorrhage.
- Review of clinical presentation and management protocols.
Main Results:
- The patient presented with severe spontaneous hemorrhage from infected tonsils.
- Subsequent post-tonsillectomy hemorrhage occurred, requiring management.
Conclusions:
- Severe spontaneous tonsillar hemorrhage and post-tonsillectomy bleeding can be life-threatening.
- Tonsillectomy with close follow-up is recommended for persistent, severe, or recurrent bleeding, or when malignancy is suspected.
Related Concept Videos
Tonsillitis II: Management
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
Tonsillitis I: Introduction
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
Chronic Pharyngitis
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Epistaxis
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Hemorrhagic Stroke l: Introduction
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
