Title : Pseudoaneurysm of the facial artery after tonsillectomy managed with endovascular coiling: A case report
Abstract:
Introduction:
We present a case of pseudoaneurysm of the facial artery after tonsillectomy managed with successful endovascular coiling.
Presentation of Case:
41-year-old lady presented with a history of throat pain and 3 episodes of hematemesis on the 3rd, 4th, and 7th postoperative days after tonsillectomy and styloidectomy. She had undergone the operation 20 days back. Neurological examination was normal. Contrast-enhanced computed tomography scan of the neck showed – contrast-filled dilatation of a branch of the right facial artery in the right palatine tonsillar fossa within the operative bed – likely pseudoaneurysm which was managed endovascularly. The patient recovered fully after treatment.
Discussion:
Tonsillectomy can have various complications, one of which is the facial artery's pseudoaneurysm, which can be managed with coiling in the catheterization laboratory.
Conclusion:
Pseudoaneurysm of the facial artery is a rare complication of tonsillectomy. Endovascular treatment of a pseudo aneurysm can be done.
