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[Lifet-threatening hemorrhage from a mandibular hemangioma]
S Houshian1, N Herold, L Mikkelsen
1Centralsygehuset i Esbjerg, ortopaedkirurgisk afdeling T.
Ugeskrift for Laeger
|February 12, 1998
Summary
A rare case of severe bleeding in a child after tooth extraction was successfully treated. Angiography revealed a mandibular hemangioma, which was embolized and surgically removed, stopping the hemorrhage.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
- Vascular Malformations
Background:
- Bleeding after deciduous molar extraction can be life-threatening.
- Mandibular hemangiomas are rare vascular lesions.
- Prompt diagnosis and intervention are crucial for managing severe hemorrhage.
Observation:
- A nine-year-old girl presented with life-threatening bleeding post-extraction of a deciduous molar.
- Angiography revealed a hemangioma in the right mandible as the source of bleeding.
Findings:
- Superselective embolization of the mandibular hemangioma was performed.
- Subsequent exploration and bone resection of the hemangioma successfully controlled the hemorrhage.
Implications:
- This case highlights the importance of considering vascular lesions in pediatric patients with unexplained bleeding after dental procedures.
- Early diagnosis and appropriate management, including embolization and surgical intervention, are crucial for controlling life-threatening hemorrhage from mandibular hemangiomas.
- Increased vigilance is warranted for dental hypermobility and spontaneous hemorrhage in children.