A rare and life-threatening cause of epistaxis

Life-Threatening Tongue and Retropharyngeal Hemorrhage in a Patient with Hemophilia A with Inhibitors

Patient: Male, 71

Final Diagnosis: Hemophilia A

Symptoms: Dysarthria • dysphagia • dyspnea

Medication: —

Clinical Procedure: Cricothyrotomy • tracheotomy

Specialty: Hematology

Recurrent epistaxis secondary to nasal haemangioma with a misleading CT angiogram

The majority of epistaxes are anterior in nature, resolve with simple first aid measures and require no further follow-up. However, some cases pose more of a diagnostic challenge and prove resistant to standard investigation and treatment. We present a case of recurrent epistaxis, refractory to multiple treatment modalities and with CT imaging suggestive of a vascular aetiology which was ultimately disproved. The case highlights the shortcomings of CT imaging and importance of thorough examination technique. Nasal haemangiomas are a rare but recognised cause of epistaxis and should be considered in refractory cases.