Recurrent severe secondary haemorrhage due to facial artery pseudoaneurysm following styloidectomy via tonsillectomy approach: A case report.

通过扁桃体切除术入路进行茎样切除术后面动脉假性动脉瘤引起的复发性严重继发性出血 ： 一例病例报告。

• 发表时间: 2024
• 来源期刊: SAGE Open Med Case Rep
• DOI: 10.1177/2050313X241258844
• PMID: 38828379
• 文章类型: Case Reports
• 作者列表: Rauniyar N,Phuyal S

关键词: Styloidectomy; facial artery; pseudoaneurysm; secondary haemorrhage; tonsillectomy

Abstract

A 41-year-old female who underwent right-sided styloidectomy via tonsillectomy approach experienced refractory short-lasting severe secondary haemorrhage on the third, seventh and thirteen postoperative days. On examination under general anaesthesia, no major vessel injury was noticed. Contrast-enhanced computerized tomography scan of the neck was done because no obvious bleeder was seen and refractory nature of bleeding. Contrast-enhanced computerized tomography scan neck showed pseudoaneurysm of facial artery which was managed with endovascular embolization successfully.

摘要

一名41岁的女性通过扁桃体切除术方法接受右侧茎样切除术，在第三例经历了难治性短期持续严重的继发性出血，术后第7天和第13天。在全身麻醉下进行检查时，没有发现重大血管损伤。进行了颈部的对比增强计算机断层扫描，因为没有看到明显的出血和难治性出血。对比增强计算机断层扫描颈部扫描显示面动脉假性动脉瘤，血管内栓塞治疗成功。