Massive primary hemorrhage during tonsillectomy from a large venous varicosity.

Burstin, P P; Hooper, R E · Otolaryngol Head Neck Surg · 1997

case_report · Level V

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Abstract

The internal jugular vein is derived embryologically from the anterior cardinal veins. Developmental abnormalities may result in a cavernous venous varicosity, which may be the cause of massive primary hemorrhage during tonsillectomy. An index of suspicion is required for diagnosis, which may be confirmed by retrograde venography techniques.

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