Pseudoaneurysm of the right lingual artery: an unusual cause of severe hemorrhage during tonsillectomy

Ear Nose Throat J. 1997 Aug;76(8):575-6.


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.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / complications*
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / therapy
  • Angiography
  • Arteries
  • Blood Loss, Surgical*
  • Child, Preschool
  • Embolization, Therapeutic
  • Female
  • Humans
  • Tongue / blood supply*
  • Tonsillectomy / adverse effects*