An aberrant artery as a cause of massive bleeding following adenoidectomy

2002 ◽  
Vol 116 (4) ◽  
pp. 299-300 ◽  
Author(s):  
J. P. Windfuhr
Keyword(s):  
Carotid Artery ◽  
Surgical Procedure ◽  
Rare Complication ◽  
Massive Bleeding ◽  
External Carotid Artery ◽  
External Carotid ◽  
General Anaesthetic ◽  
Ascending Pharyngeal Artery ◽  
Aberrant Artery ◽  
Almost All

Bleeding following adenoidectomy is a rare complication of this surgical procedure, and usually occurs in the first post-operative hours. In almost all cases it is related to adenoid remnants. Removal of these remnants under a second general anaesthetic is the treatment of choice. We report a case of massive bleeding three days following adenoidectomy related to the injury of an aberrant ascending pharyngeal artery during adenoidectomy performed elsewhere. Signs of manifest shock necessitated an immediate ligature of the external carotid artery and its individual branches. The post-operative course was uneventful. Two years later the boy underwent tonsillectomy without complications.

scholarly journals Magnetic resonance angiographic study of the variations in the branching pattern of external carotid artery

2021 ◽  
Vol 8 (3) ◽  
pp. 175-178
Author(s):  
Rohita Salam ◽  
Sheela Sivan
Keyword(s):  
Magnetic Resonance ◽  
Carotid Artery ◽  
Tertiary Care ◽  
External Carotid Artery ◽  
External Carotid ◽  
Lateral Side ◽  
Occipital Artery ◽  
Branching Pattern ◽  
Ascending Pharyngeal Artery ◽  
Medial Side

Knowledge of anatomy of the branching pattern of external carotid artery (ECA) is needed for head and neck surgeries and diagnostic purposes. Previously knowledge regarding this was obtained from dissecting specimens. But with magnetic resonance angiograms being done widely, data from these may be taken for a better understanding of the branching pattern of ECA. To study the branching pattern of external carotid artery using MR angiograms taken for other purposes. A cross-sectional study was carried out in our institution, which is a tertiary care centre, between September 2013 and September 2015 in which we studied the MR angiograms of 50 patients. Out of the 50 MR angiograms studied, variations were seen in 5 cases. In two cases, the ascending pharyngeal artery was seen to arise from the lateral side instead of the medial side on the left side. In another two, the ascending pharyngeal artery was seen to arise from the occipital artery on the left side. In one case the superior laryngeal artery arose from the external carotid artery. MR angiogram taken for other purposes is an inexpensive, ionizing radiation free method which can be used to study the branching pattern of external carotid artery.

scholarly journals A TUMOR BIOPSY OF THE PARAPHARYNGEAL SPACE, COMPLICATED BY MASSIVE BLEEDING, WHICH REQUIRED URGENT TRACHEOSTOMY AND DRESSING OF THE EXTERNAL CAROTID ARTERY

2018 ◽  
Vol 17 (2) ◽  
pp. 100-102
Author(s):  
O. H. Plaksyvyy ◽  
I. V. Kalutsʹkyy ◽  
O. O. Mazur ◽  
M. M. Sorokhan
Keyword(s):  
Carotid Artery ◽  
Histological Examination ◽  
Rare Diseases ◽  
Rare Case ◽  
Clinical Case ◽  
Parapharyngeal Space ◽  
Massive Bleeding ◽  
External Carotid Artery ◽  
External Carotid ◽  
Tumor Biopsy

The article describes a rare case of rhabdomyoma parapharyngeal space. A peculiarity of the clinical case is the appearance after the biopsy of massive pharyngeal bleeding from the leak into the larynx, which required urgent tracheostomy and dressing of the external carotid artery. The tumor is removed by external access, a week after the elimination of complications. The result of histological examination is rhabdomyoma. The tumor of the parapharyngeal space occurs periodically, however rhabdomyomas are rare diseases.

scholarly journals Variant ascending pharyngeal artery maintaining flow in a subocclusive internal carotid artery

2019 ◽  
Vol 12 (8) ◽  
pp. e230048
Author(s):  
Brian D Kim ◽  
Thomas J Oxley ◽  
Johanna T Fifi ◽  
Hazem Shoirah
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Recurrent Events ◽  
Internal Carotid ◽  
External Carotid Artery ◽  
External Carotid ◽  
Sustained Improvement ◽  
Therapeutic Implications ◽  
Ascending Pharyngeal Artery

Ectopic branches of the external carotid artery are rare but have critical diagnostic and therapeutic implications. We present a case involving a 70-year-old man who presented with recurrent left hemispheric strokes in the setting of a subocclusive left internal carotid stenosis. A left ascending pharyngeal artery with variant origin from the internal carotid artery helped maintain flow distal to the area of stenosis and allowed for safe and successful internal carotid artery stenting. Identification of this variant and recognition of the anastomotic network involving this connection were crucial to determine the safety of stenting. The patient had no further recurrent events and had sustained improvement on his 90-day follow-up.

Right Zygomaticomaxillary Complex Fracture With Rupture Of Internal Maxillary Artery: A Case Report

2016 ◽  
Vol 3 (1) ◽  
pp. 27-31
Author(s):  
Beni Herlambang ◽  
Budiman Budiman
Keyword(s):  
Carotid Artery ◽  
Massive Bleeding ◽  
External Carotid Artery ◽  
External Carotid ◽  
Maxillary Artery ◽  
Internal Maxillary Artery ◽  
Complex Fracture ◽  
Zygomaticomaxillary Complex Fracture ◽  
Life Threatening ◽  
Zygomaticomaxillary Complex

Background: This case report gives prominence to the risk of delayed, possibly life - threatening bleeding following mid-facial fractures. Methods: A 42-year-old male was involved in an accident during which he suffered from right zygomaticomaxillary complex fractures with massive bleeding. The hemoglobin level was decreased from 11 to 5 g/dL, suspected caused by rupture of internal maxillary artery. Incidence of massive bleeding due to zygomaticomaxillary complex fracture is quite rare. Patient also felt right visual loss due to retrobulbar hematoma compression. He was given nasal tampon and transfusion in referral hospital. The patient had fracture reconstruction (reduction and fixation), ligation of right facial artery and temporary ligation of external carotid artery with Ethiloop for 5 days. Nevertheless, the bleeding still occurred. The patient then underwent Digital Subtraction Angiography (DSA) and coiling procedure from radiologic intervention. Twenty days after last procedure, we ligated the right external carotid artery due to recurrence of bleeding. Results: There are many modalities and procedure for the therapy of massive bleeding on midface fracture, ranging from conservative, minimal invasive to operative surgery. Patient that has gone through DSA procedure can still bleed. After ligation of external carotid artery, no more bleeding occurred. Conclusion: Patient suffering from extensive midfacial fracture, the internal maxillary artery and its branches are at special risk of injury due to their close anatomical relationship to bony structures. Its bleeding is possibly life threatening. Tampon and nasal packing are non-essential initial treatment, but digital pressure procedure can be performed to stop the bleeding temporarily. Ligation of external carotid artery is the best choice of treatment for permanent outcome.

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