Wright O, Bowles P, Pelser A. Recurrent epistaxis secondary to nasal haemangioma with a misleading CT angiogram.
BMJ Case Rep 2019;
12:12/6/e230737. [PMID:
31229987 DOI:
10.1136/bcr-2019-230737]
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Abstract
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.
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