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Recurrent epistaxis secondary to nasal haemangioma with a misleading CT angiogram
  1. Oliver Wright,
  2. Philippe Bowles and
  3. Andrew Pelser
  1. Otolaryngology Department, Brighton and Sussex University Hospitals NHS Trust, Brighton, Brighton and Hove, UK
  1. Correspondence to Dr Oliver Wright, wrightoliverj{at}


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.

  • otolaryngology/ent
  • neurosurgery
  • interventional radiology

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  • Contributors The report was supervised by AP. The patient was under the care of AP. The report was written by OW. PB reviewed the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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