title: Pseudoaneurysm of the right lingual artery: an unusual cause of severe hemorrhage during tonsillectomy.
abstract: Profuse intraoperative hemorrhage is an uncommon complication of tonsillectomy. We present a three-year-old girl who underwent a routine adenotonsillectomy during which massive bleeding occurred from a large vessel in the right tonsillar fossae. Angiography revealed an aberrant right lingual artery with a pseudoaneurysm. The right lingual artery was embolized with multiple coils and the bleeding was halted. The causes and treatment of extracranial carotid artery pseudoaneurysms are discussed.
authors.affiliation: LeBonheur Childrens Medical Center, Memphis, Tennessee 38105, USA.
authors.forename: R B
authors.initials: RB
authors.lastname: Mitchell
authors.forename: K D
authors.initials: KD
authors.lastname: Pereira
authors.forename: R H
authors.initials: RH
authors.lastname: Lazar
authors.forename: T E
authors.initials: TE
authors.lastname: Long
authors.forename: N F
authors.initials: NF
authors.lastname: Fournier
mesh_terms: D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D000792:Angiography; D001158:Arteries; D016063:Blood Loss, Surgical; D002675:Child, Preschool; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D014059:Tongue / Q000098:blood supply*; D014068:Tonsillectomy / Q000009:adverse effects*