Pseudoaneurysm following “routine” third molar extraction: a case report and review of the literature
Pseudoaneurysms are rare, life-threatening vascular lesions caused by damage to an arterial wall and have a high propensity for rupture and hemorrhage. The aim of this case report is to discuss the evaluation, diagnosis, and management of unusual bleeding following dental extractions in an otherwise...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-03-01
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| Series: | Oral and Maxillofacial Surgery Cases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214541922000086 |
| _version_ | 1818487746612690944 |
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| author | Jiean Joseph Heifetz-Li Samer Abdelsamie |
| author_facet | Jiean Joseph Heifetz-Li Samer Abdelsamie |
| author_sort | Jiean Joseph Heifetz-Li |
| collection | DOAJ |
| description | Pseudoaneurysms are rare, life-threatening vascular lesions caused by damage to an arterial wall and have a high propensity for rupture and hemorrhage. The aim of this case report is to discuss the evaluation, diagnosis, and management of unusual bleeding following dental extractions in an otherwise healthy 17-year-old female. She presented post-operatively with facial swelling and bruising following outpatient extraction of third molars. Exploration of the surgical site revealed active bleeding that was unresponsive to pressure and application of hemostatic agents. Selective embolization was performed after a pseudoaneurysm of the inferior alveolar artery was identified, resulting in no further bleeding and return to baseline diet and activity. Any practitioner performing dental extractions who encounters unusual bleeding should be aware of this potentially fatal vascular lesion and its relevant treatment options. While surgical ligation is technically feasible, minimally invasive intravascular interventions provide a safe and effective method for management of this complication. |
| first_indexed | 2024-12-10T16:42:01Z |
| format | Article |
| id | doaj.art-67374797480949ea87a66eda9a21a83f |
| institution | Directory Open Access Journal |
| issn | 2214-5419 |
| language | English |
| last_indexed | 2024-12-10T16:42:01Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral and Maxillofacial Surgery Cases |
| spelling | doaj.art-67374797480949ea87a66eda9a21a83f2022-12-22T01:41:11ZengElsevierOral and Maxillofacial Surgery Cases2214-54192022-03-0181100249Pseudoaneurysm following “routine” third molar extraction: a case report and review of the literatureJiean Joseph Heifetz-Li0Samer Abdelsamie1Corresponding author. 2301 E, Allegheny Avenue Suite #206, Philadelphia, PA, 19134, USA.; Temple University Hospitals - Oral and Maxillofacial Surgery, Philadelphia, PA, USATemple University Hospitals - Oral and Maxillofacial Surgery, Philadelphia, PA, USAPseudoaneurysms are rare, life-threatening vascular lesions caused by damage to an arterial wall and have a high propensity for rupture and hemorrhage. The aim of this case report is to discuss the evaluation, diagnosis, and management of unusual bleeding following dental extractions in an otherwise healthy 17-year-old female. She presented post-operatively with facial swelling and bruising following outpatient extraction of third molars. Exploration of the surgical site revealed active bleeding that was unresponsive to pressure and application of hemostatic agents. Selective embolization was performed after a pseudoaneurysm of the inferior alveolar artery was identified, resulting in no further bleeding and return to baseline diet and activity. Any practitioner performing dental extractions who encounters unusual bleeding should be aware of this potentially fatal vascular lesion and its relevant treatment options. While surgical ligation is technically feasible, minimally invasive intravascular interventions provide a safe and effective method for management of this complication.http://www.sciencedirect.com/science/article/pii/S2214541922000086Dentoalveolar surgeryDental extraction complicationsPost-operative bleedingPseudoaneurysmEmbolizationThird molars |
| spellingShingle | Jiean Joseph Heifetz-Li Samer Abdelsamie Pseudoaneurysm following “routine” third molar extraction: a case report and review of the literature Oral and Maxillofacial Surgery Cases Dentoalveolar surgery Dental extraction complications Post-operative bleeding Pseudoaneurysm Embolization Third molars |
| title | Pseudoaneurysm following “routine” third molar extraction: a case report and review of the literature |
| title_full | Pseudoaneurysm following “routine” third molar extraction: a case report and review of the literature |
| title_fullStr | Pseudoaneurysm following “routine” third molar extraction: a case report and review of the literature |
| title_full_unstemmed | Pseudoaneurysm following “routine” third molar extraction: a case report and review of the literature |
| title_short | Pseudoaneurysm following “routine” third molar extraction: a case report and review of the literature |
| title_sort | pseudoaneurysm following routine third molar extraction a case report and review of the literature |
| topic | Dentoalveolar surgery Dental extraction complications Post-operative bleeding Pseudoaneurysm Embolization Third molars |
| url | http://www.sciencedirect.com/science/article/pii/S2214541922000086 |
| work_keys_str_mv | AT jieanjosephheifetzli pseudoaneurysmfollowingroutinethirdmolarextractionacasereportandreviewoftheliterature AT samerabdelsamie pseudoaneurysmfollowingroutinethirdmolarextractionacasereportandreviewoftheliterature |