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Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
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Case 217: sinonasal organized hematoma.

Daniel Thomas Ginat¹, Gul Moonis

¹From the Department of Radiology, University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 (D.T.G.); Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Mass (G.M.); and Massachusetts Eye and Ear Infirmary, Boston, Mass (G.M.).

|April 24, 2015

Summary

This summary is machine-generated.

A 15-year-old boy experienced severe nosebleeds (epistaxis) unresponsive to typical treatments. Advanced imaging and biopsy were used to diagnose the underlying cause of his intractable epistaxis.

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Area of Science:

Otolaryngology
Radiology
Pathology

Background:

Recurrent epistaxis can significantly impact quality of life.
Diagnostic workup for intractable epistaxis includes imaging and laboratory tests.

Observation:

A 15-year-old male presented with intractable epistaxis.
Previous episodes of epistaxis were self-limiting.
Coagulation panel was unremarkable.

Findings:

Computed tomography (CT) and magnetic resonance (MR) imaging of the sinuses were performed.
Nasal packing successfully controlled the bleeding.
A biopsy of the lesion was obtained for histopathological examination.

Implications:

This case highlights the importance of comprehensive evaluation for persistent epistaxis.
Advanced imaging techniques aid in identifying the source of intractable nosebleeds.
Biopsy is crucial for definitive diagnosis and guiding treatment of sinonasal lesions causing epistaxis.