Abstract:

In persistent bleedings after tonsillectomy despite all surgical procedures, facial artery aneurysm should be kept in mind. A case is presented with this rare situation. 12-year-old girl refers to her physician with bleeding four days after tonsillectomy in an outer center. Surgical control of bleeding from the left tonsillectomy area is done in this center. After one week the bleeding begins again from the same place. She is hospitalized in an other hospital for one week but no bleeding occured in this time. A few days after discharge, she is refered to our hospital with an intense bleeding from oral cavity. Magnetic resonance angiography revealed left facial artery aneurysm. The facial artery aneurysm was filled with coil stents in the radiology department . After this procedur there was no bleeding in a one week hospitalization. Five days after discharge, the patient refered us with bleeding. This time facial artery blood flow was completely obliterated with coil stent. The patient had no bleeding in her two and six months control. In persitent bleedings after tonsillectomy aneurysms should be thought necessarily because they can be lifethreatening.

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