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:: Volume 4, Issue 3 (2023) ::
J Clinic Care Skill 2023, 4(3): 143-148 Back to browse issues page
Medicolegal Aspects of Life-Threatening Late Hemorrhage after Tonsillectomy; a Report of Three Cases
H. Ganjali1 , A. Hedjazi1 , H. Attaran * 2
1- Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
2- Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran , hmdattaran@yahoo.com
Abstract:   (295 Views)
Aims: Secondary bleeding after tonsillectomy is unavoidable. If it leads to a life-threatening event, it will likely be associated with a malpractice claim against the surgeon. Very few reports have addressed this event from a medicolegal point of view. Therefore, the present report aimed to investigate litigations following secondary post-tonsillectomy hemorrhage leading to death or life-threatening events in three patients.
Patients & Methods: Here, we report three cases of life-threatening secondary post-tonsillectomy hemorrhage referred to the Legal Medicine Organization by the prosecuting attorney to give an expert opinion about any medical negligence.
Findings: Two cases resulted in death and underwent medicolegal autopsy. The third one caused a cardiopulmonary arrest followed by neurological deficits after successful resuscitation. All three were children between 8 and 9 years old, and the time from surgery to post-tonsillectomy hemorrhage was between 30 hours to 13 days. No vascular anomaly or iatrogenic vascular injuries were found at autopsy. A review of the literature revealed that post-tonsillectomy hemorrhage is common and unpreventable
Conclusion: In none of the cases medical malpractice was found as a contributing factor, and the complication was regarded as unpreventable.
Keywords: Tonsillectomy [MeSH], Hemorrhage [MeSH], Medical Malpractice [MeSH], Medicolegal Autopsy [MeSH], Life-threatening Event [MeSH]
Full-Text [PDF 832 kb]   (76 Downloads)    
Type of Study: case report | Subject: General
Received: 2023/05/24 | Accepted: 2023/09/5 | Published: 2023/09/17
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Ganjali H, Hedjazi A, Attaran H. Medicolegal Aspects of Life-Threatening Late Hemorrhage after Tonsillectomy; a Report of Three Cases. J Clinic Care Skill 2023; 4 (3) :143-148
URL: http://jccs.yums.ac.ir/article-1-193-en.html

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Volume 4, Issue 3 (2023) Back to browse issues page
مجله مهارت‌ها و مراقبت‌های بالینی Journal of Clinical Care and Skills

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