{Reference Type}: Review
{Title}: Between a Rock and a Hard Place: Anticoagulating an Adolescent with Post-Tonsillectomy Massive PE: A Case Report.
{Author}: Shimomura A;Smith S;Darki A;Kamberos N;Charous S;
{Journal}: Ann Otol Rhinol Laryngol
{Volume}: 132
{Issue}: 3
{Year}: Mar 2023
{Factor}: 1.973
{DOI}: 10.1177/00034894221088178
{Abstract}: <B>UNASSIGNED: </B>To report a case of a morbidly obese 17-year-old boy who presented 4 days post-tonsillectomy with acute deep venous thromboses and a massive pulmonary embolism. To describe a protocol and decision-making tree for providing anticoagulation in the immediate post-tonsillectomy period.<BR><B>UNASSIGNED: </B>A chart review and review of the literature.<BR><B>UNASSIGNED: </B>The patient ultimately did well and had no bleeding from the tonsil beds or further thromboembolic complications. A review of the literature revealed no available data regarding the safety of anticoagulation in the immediate post-tonsillectomy period.<BR><B>UNASSIGNED: </B>We propose that if anticoagulation is needed within 14 days of tonsillectomy, submaximal anticoagulation with a reversible and titratable anticoagulant may be optimal. A multidisciplinary team approach is needed for these complex cases. Future reporting and investigation of anticoagulation post-tonsillectomy is needed.