Massive blood loss during tonsillectomy in a child with congenital venous malformation.
Paediatr Anaesth
; 7(3): 243-6, 1997.
Article
in En
| MEDLINE
| ID: mdl-9189972
ABSTRACT
Tonsillectomy and adenoidectomy have become frequently performed outpatient procedures and are generally considered to have a low morbidity profile. Postoperative haemorrhage remains a rare but important complication, while intraoperative uncontrollable bleeding is extremely uncommon. A child with congenital vascular malformation of the lip and oropharynx undergoing tonsillectomy experienced massive blood loss, subsequent resuscitation and significant perioperative morbidity including a prolonged intensive care unit stay. Preoperative/preanaesthetic nasopharyngoscopic exam and magnetic resonance imaging did not reveal vascular prominence of the tonsils. Preoperative consideration of angiography or magnetic resonance angiography may be prudent to avoid this potentially fatal complication.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Oropharynx
/
Tonsillectomy
/
Veins
/
Blood Loss, Surgical
/
Lip
Limits:
Child, preschool
/
Humans
/
Male
Language:
En
Journal:
Paediatr Anaesth
Journal subject:
ANESTESIOLOGIA
/
PEDIATRIA
Year:
1997
Document type:
Article
Affiliation country: