大量出血をきたした舌扁桃炎例

DOI Web Site Web Site 参考文献2件
  • 吉田 沙絵子
    社会医療法人河北医療財団　河北総合病院耳鼻いんこう科
  • 篠原 宏
    社会医療法人河北医療財団　河北総合病院耳鼻いんこう科
  • 菱村 祐介
    社会医療法人河北医療財団　河北総合病院耳鼻いんこう科
  • 清水 啓成
    社会医療法人河北医療財団　河北総合病院耳鼻いんこう科

書誌事項

タイトル別名
  • A Case of Lingual Tonsillitis with Excessive Hemorrhage
  • 臨床 大量出血をきたした舌扁桃炎例
  • リンショウ タイリョウ シュッケツ オ キタシタ ゼツ ヘントウエンレイ

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抄録

<p>Oropharyngeal hemorrhage can be caused by malignant tumors, occur post-tonsillectomy, etc. In some cases, it can prove fatal. However, it is rarely caused by acute infection. Herein, we report the case of a 61-year-old male patient with uncontrollable hemorrhage associated with lingual tonsillitis, which was eventually controlled by ligature of the external carotid artery (LECA).</p><p>The patient had undergone tonsillectomy about 20 years previously. He presented to us with marked swelling and furring of his lingual tonsil, based on which we made the diagnosis of lingual tonsillitis and initiated treatment with antibiotics and a steroid. Under our clinical observation, he recovered fairly well. However, 5 days after he was discharged, the patient returned to the hospital with abrupt and excessive bleeding from the oral cavity. We attempted, but failed to stop the bleeding, and the patient went into hypovolemic shock. We performed emergency tracheotomy followed by biopsy, and accomplished hemostasis by cauterization and LECA under general anesthesia. The bleeding stopped and blood transfutions were administered. Histopathological examination revealed only inflammatory tissue. The patient was discharged without any significant complications.</p><p>We assume that the tonsillitis exacerbated a chronic inflammatory state that the lingual tonsil was presumably in, resulting in necrosis of the surrounding tissues, including disruption of the integrity of the vascular walls.</p><p>The vessel involved here is highly likely to have been the dorsal tongue branch of the lingual artery.</p>

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