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November 1958

Exsanguinating Hemorrhage Twenty-One Days After Tonsilloadenoidectomy

Author Affiliations

San Diego, Calif.
From the Department of Otolaryngology, San Diego County General Hospital, and The BioMedical Research Institute.

AMA Arch Otolaryngol. 1958;68(5):630-631. doi:10.1001/archotol.1958.00730020652012

Postoperative tonsilloadenoidectomy hemorrhage is quite common, noted usually within the first 24 hours. However, the period from the 5th to the 11th day is the time when late secondary hemorrhages are most apt to occur. The case reported here followed the usual pattern of having the hemorrhage at intervals of from six to eight days. The final hemorrhage on the 21st day ended in death.

The patient, a 4-year-old boy, entered the hospital March 18, 1955, at 8 a. m. His father, mother, sister, and three brothers were all living and well. In March, 1954, the patient had measles. A recent chest x-ray was negative. A mouth breather, he had frequent sore throats and colds with a cough. For the three days prior to surgery he had been given procaine penicillin and vitamin K orally three times a day.

Physical findings were chiefly normal; temperature was 98.6 F orally, pulse

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