en گزارش مورد/موارد Case/Series Report <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#1f497d">Aims:</span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span cambria="" style="font-family:">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. </span></span><span style="font-size:10.0pt"><span cambria="" style="font-family:">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. </span></span><span lang="EN" style="font-size:10.0pt"><span style="font-family:"Cambria","serif""></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#1f497d">Patients & Methods:</span></span></span></b> <span style="font-size:10.0pt"><span cambria="" style="font-family:">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. </span></span><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#1f497d">Findings:</span></span></span></b> <span style="font-size:10.0pt"><span cambria="" style="font-family:">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 </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#1f497d">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span cambria="" style="font-family:"> In none of the cases medical malpractice was found as a contributing factor, and the complication was regarded as unpreventable. </span></span></span></span></span><br> &nbsp; Tonsillectomy,Hemorrhage,Medical Malpractice,Medicolegal Autopsy,Life-threatening Event, 143 148 http://jccs.yums.ac.ir/browse.php?a_code=A-10-228-1&slc_lang=en&sid=1 H. Ganjali haniehganjali.md@gmail.com 10031947532846005755 10031947532846005755 No Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran A. Hedjazi arya_hedjazi@yahoo.com 10031947532846005756 10031947532846005756 No Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran H. Attaran hmdattaran@yahoo.com 10031947532846005757 10031947532846005757 Yes Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran