Background: Tonsillectomy with or without adenoidectomy is the second most common pediatric surgical procedure in the United States with up to 97% performed as an outpatient.1,2 While it is largely a safe procedure, several complications have been described and are encountered in the emergency department and primary care setting.
Presentation: A 29-month child presented to the emergency department with neck stiffness 10 days after tonsillectomy and adenoidectomy.