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Management of prolonged epistaxis in pregnancy: case report

Published online by Cambridge University Press:  30 July 2013

K Cornthwaite ,
K Varadharajan ,
M Oyarzabal  and
H Watson
K Cornthwaite
Affiliation:
Department of Otorhinolaryngology, Medway Maritime Hospital, Gillingham, UK
K Varadharajan*
Affiliation:
Department of Otorhinolaryngology, Medway Maritime Hospital, Gillingham, UK
M Oyarzabal
Affiliation:
Department of Otorhinolaryngology, Medway Maritime Hospital, Gillingham, UK
H Watson
Affiliation:
Department of Obstetrics and Gynaecology, Medway Maritime Hospital, Gillingham, UK
*
Address for correspondence: Mr K Varadharajan, Department of Otorhinolaryngology, Medway Maritime Hospital, Gillingham ME7 5NY, UK Fax: 01634 830000 E-mail: [email protected]
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Abstract

Objectives:

To report a case of life-threatening epistaxis in a pregnant patient, describe the links between pregnancy and epistaxis, and discuss the management of such cases. Life-threatening epistaxis in pregnancy is rare, and there are no specific evidence-based guidelines regarding the management of these patients.

Case report:

A 31-year-old primigravida presented with severe epistaxis in the second trimester of her pregnancy. Conservative measures failed, thereby necessitating surgical intervention.

Conclusion:

This case illustrates the importance of a multidisciplinary approach in the management of a pregnant patient presenting with severe epistaxis, and highlights the surgical challenges presented in such a situation.

Keywords

EpistaxisPregnancyHELLP Syndrome
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 8 , August 2013 , pp. 811 - 813
Copyright
Copyright © JLO (1984) Limited 2013 

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