Document Detail

Delayed endovascular coil extrusion after embolisation for post-tonsillectomy haemorrhage: case report and literature review.
MedLine Citation:
PMID:  23199626     Owner:  NLM     Status:  MEDLINE    
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.
W Fassnacht; F Hammer; Q Gardiner; G Desuter
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-12-03
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  127     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-11     Completed Date:  2013-06-25     Revised Date:  2013-11-13    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  88-91     Citation Subset:  AIM; IM    
Department of ENT, Head and Neck Surgery, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium, UK.
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MeSH Terms
Carotid Artery Injuries / diagnosis,  etiology*,  surgery
Carotid Artery, External*
Device Removal / methods
Diagnosis, Differential
Embolization, Therapeutic / adverse effects*,  instrumentation
Endovascular Procedures / adverse effects*,  instrumentation
Follow-Up Studies
Foreign-Body Migration / complications*,  diagnosis,  surgery
Postoperative Hemorrhage / etiology,  therapy*
Time Factors
Tonsillectomy / adverse effects*
Young Adult

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