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颈动脉假性动脉瘤:扁桃体切除术后一种罕见的并发症。

Carotid artery pseudoaneurysm: A rare complication following tonsillectomy.

作者信息

Lago Denise M, Koning Jeffrey L, Naheedy John, Leuin Shelby

机构信息

Rady Children's Hospital, 3030 Children's Way Suite 402, San Diego, CA 92123, USA.

University of California, San Diego, Department of Radiology, San Diego, CA, USA.

出版信息

Int J Pediatr Otorhinolaryngol. 2015 Dec;79(12):2428-32. doi: 10.1016/j.ijporl.2015.08.035. Epub 2015 Sep 25.

Abstract

Tonsillectomy is one of the most common surgical procedures performed in children. The most frequent complications are dehydration and bleeding. We present the case of a 6 year old child who developed an internal carotid artery pseudoaneurysm following elective tonsillectomy, necessitating urgent coil embolization and stenting. This is the first reported case in the pediatric population of a vascular injury that manifested in a delayed fashion (6 months) after routine tonsillectomy, and is also one of the youngest reported cases. It is imperative for the otolaryngologist to be aware of this rare complication.

摘要

扁桃体切除术是儿童中最常见的外科手术之一。最常见的并发症是脱水和出血。我们报告一例6岁儿童,在择期扁桃体切除术后发生颈内动脉假性动脉瘤,需要紧急进行弹簧圈栓塞和支架置入术。这是儿科人群中首例报告的血管损伤病例,该损伤在常规扁桃体切除术后延迟出现(6个月),也是报告的最年轻病例之一。耳鼻喉科医生必须了解这种罕见的并发症。

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