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Iatrogenic facial artery pseudoaneurysm

Peng Yeh1, Po-Wen Cheng1

  • 1Department of Otolaryngology, Far Eastern Memorial Hospital, New Taipei City, Taiwan.

American Journal of Otolaryngology
|April 16, 2022
PubMed

Insights

Tonsillectomy can rarely lead to delayed bleeding from a facial artery pseudoaneurysm. This case highlights a 30-year-old male experiencing recurrent hemorrhage 22 days post-tonsillectomy, emphasizing the need for awareness.

Area of Science:

  • Otolaryngology
  • Vascular Surgery
  • Medical Imaging

Background:

  • Tonsillectomy is a frequent surgical procedure.
  • Hemorrhage is the most common complication following tonsillectomy.
  • Iatrogenic pseudoaneurysms of the facial artery are a rare but serious complication.

Observation:

  • A 30-year-old male presented with recurrent hemorrhage 22 days after tonsillectomy.
  • The hemorrhage originated from an iatrogenic pseudoaneurysm of the left facial artery.
  • The case was documented via video for educational purposes.

Findings:

  • The study details a rare instance of delayed post-tonsillectomy hemorrhage.
  • Diagnosis of a pseudoaneurysm of the facial artery was confirmed.
  • The presentation and management of this rare complication are discussed.

Implications:

  • Increased awareness of iatrogenic pseudoaneurysms is crucial for otolaryngologists.
  • Early recognition of warning signs can prevent severe hemorrhage.
  • This case underscores the importance of considering vascular complications after tonsillectomy.
Keywords:
AngiographyEndovascular embolizationFacial arteryPseudoaneurysmTonsillectomy

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