Jan-June 2016 | Vol 2 | Issue 1 | Page :18-20
Ramesh Parajuli 1*, Suman Thapa1
1*Assistant professor, Department of Otorhinolaryngology, Chitwan Medical College Teaching Hospital, Nepal.
Introduction: Spontaneous tonsillarhaemorrhage is a rare condition in otolaryngology unlike the post tonsillectomy haemorrhage which is frequently encountered. Its severity varies from minor ooze of blood to major life threatening situation. Objective: The aim of this study is to present a case of spontaneous tonsillar hemorrhage in an adult; and to discuss possible pathophysiology and the treatment options for this condition. Case report: The patient was a 38-year-old man who presented with the complaint of sudden onset fresh bleeding for few hours from mouth without any significant medical or surgical history. On examination no active bleeding sites were visualized in spite of having a blood clot in the superior pole of left tonsil. All the routine laboratory parameters including the coagulation profile were within the normal range. Patient was managed conservatively with intravenous antibiotics. He was discharged on 5th day with uneventful the hospital stay. Conclusion: Spontaneous tonsillarhaemorrhage is a rare, but potentially life threatening condition which can result from various causes; the most important being the infectious cause that can be managed with simple conservative methods; and the emergency tonsillectomy can be avoided.
Keywords:Spontaneous, Palatine tonsil, Haemorrhage, Bleeding.