Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Spontaneous Tonsillar Hematoma Causing Oropharyngeal Obstruction

구인두 폐색을 유발한 자발성 편도선 혈종 치험 1예

  • Kim, Young Hyun (Department of Otorhinolaryngology, School of Medicine, University of Konkuk) ;
  • Lee, Jong Cheol (Department of Otorhinolaryngology, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Lee, Hyung Jun (Department of Otorhinolaryngology, School of Medicine, University of Konkuk) ;
  • Choi, Jung Suk (Department of Otorhinolaryngology, School of Medicine, University of Konkuk) ;
  • Kim, Bo Hyung (Department of Otorhinolaryngology, School of Medicine, University of Konkuk) ;
  • Kang, Sung Ho (Department of Otorhinolaryngology, School of Medicine, University of Konkuk) ;
  • Yu, Myeong Sang (Department of Otorhinolaryngology, School of Medicine, University of Konkuk)
  • 김영현 (건국대학교 의학전문대학원 이비인후과학교실) ;
  • 이종철 (울산대학교 의과대학 울산대병원 이비인후과학교실) ;
  • 이형준 (건국대학교 의학전문대학원 이비인후과학교실) ;
  • 최정석 (건국대학교 의학전문대학원 이비인후과학교실) ;
  • 김보형 (건국대학교 의학전문대학원 이비인후과학교실) ;
  • 강성호 (건국대학교 의학전문대학원 이비인후과학교실) ;
  • 유명상 (건국대학교 의학전문대학원 이비인후과학교실)
  • Received : 2011.05.19
  • Accepted : 2011.06.11
  • Published : 2011.06.30
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Abstract

Spontaneous tonsillar bleeding is a rare condition in ENT unit. Almost reported cases have been related to infection of tonsils. Prior to introduction of antibiotics, spontaneous tonsillar bleeding was usually related to superficial capsular bleeding due to acute or chronic tonsillitis. The presented case is a 36-year old healthy man without history of acute, chronic tonsillitis, and coagulation disorder who complained of dyspnea and oropharyngeal foreign body sensation after vomitting. Examination revealed a reddish polypoid mass of the right tonsil. Furthermore, the mass pushed uvula and tongue base, caused nearly total obstruction of oropharynx. All rountine laboratory test results were within normal limits. Computed tomography (CT) showed low density mass of attached in upper pole of right tonsil without enhancement. We performed tonsillectomy including the reddish polypoid mass under general anesthesia. The pathology revealed lymphoepithelial tissue with reactive hyperplasia. This is the first reported tonsillar hematoma presenting as a large oropharyngeal mass which was caused by vomitting.

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