Life-threatening traumatic epistaxis due to massive bleeding into the maxillary sinus
A 77-year-old woman with no medical history fell, and her face was strongly impacted on the ground. On arrival at our hospital, her initial vital signs were stable. She underwent an endoscopy to stop the bleeding. However, identification of the origin of the bleeding failed, and her injury resulted...
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doaj-678941fa01c04548b722f353962c64462021-04-22T13:40:09ZengElsevierTrauma Case Reports2352-64402021-04-0132100434Life-threatening traumatic epistaxis due to massive bleeding into the maxillary sinusRika Kotoh0Takaaki Maruhashi1Satoshi Tamura2Daisuke Yamamoto3Hiroyuki Koizumi4Yutaro Kurihara5Mayuko Osada6Marina Oi7Yasushi Asari8Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, JapanDepartment of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan; Corresponding author at: Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0375, Japan.Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, JapanDepartment of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, JapanDepartment of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, JapanDepartment of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, JapanDepartment of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, JapanDepartment of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, JapanDepartment of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, JapanA 77-year-old woman with no medical history fell, and her face was strongly impacted on the ground. On arrival at our hospital, her initial vital signs were stable. She underwent an endoscopy to stop the bleeding. However, identification of the origin of the bleeding failed, and her injury resulted in hemorrhagic shock during the procedure. Head to face contrast computed tomography showed extravasation of contrast media into the maxillary sinus. Transcatheter arterial embolization was performed for the ruptured infraorbital artery branching from the maxillary artery. She recovered from the “shock” state after transcatheter arterial embolization and was admitted to the intensive care unit. There were no complications associated with transcatheter arterial embolization during hospitalization. For this case, early recognition of an active hemorrhage was challenging because the hemorrhage was pooled in the sinuses. Although epistaxis is sometimes fatal, transcatheter arterial embolization can be the first choice for the treatment of life-threatening epistaxis, owing to its safety and effectiveness.http://www.sciencedirect.com/science/article/pii/S235264402100039XTraumatic epistaxisHemorrhagic shockTranscatheter arterial embolizationMaxillary sinus |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rika Kotoh Takaaki Maruhashi Satoshi Tamura Daisuke Yamamoto Hiroyuki Koizumi Yutaro Kurihara Mayuko Osada Marina Oi Yasushi Asari |
spellingShingle |
Rika Kotoh Takaaki Maruhashi Satoshi Tamura Daisuke Yamamoto Hiroyuki Koizumi Yutaro Kurihara Mayuko Osada Marina Oi Yasushi Asari Life-threatening traumatic epistaxis due to massive bleeding into the maxillary sinus Trauma Case Reports Traumatic epistaxis Hemorrhagic shock Transcatheter arterial embolization Maxillary sinus |
author_facet |
Rika Kotoh Takaaki Maruhashi Satoshi Tamura Daisuke Yamamoto Hiroyuki Koizumi Yutaro Kurihara Mayuko Osada Marina Oi Yasushi Asari |
author_sort |
Rika Kotoh |
title |
Life-threatening traumatic epistaxis due to massive bleeding into the maxillary sinus |
title_short |
Life-threatening traumatic epistaxis due to massive bleeding into the maxillary sinus |
title_full |
Life-threatening traumatic epistaxis due to massive bleeding into the maxillary sinus |
title_fullStr |
Life-threatening traumatic epistaxis due to massive bleeding into the maxillary sinus |
title_full_unstemmed |
Life-threatening traumatic epistaxis due to massive bleeding into the maxillary sinus |
title_sort |
life-threatening traumatic epistaxis due to massive bleeding into the maxillary sinus |
publisher |
Elsevier |
series |
Trauma Case Reports |
issn |
2352-6440 |
publishDate |
2021-04-01 |
description |
A 77-year-old woman with no medical history fell, and her face was strongly impacted on the ground. On arrival at our hospital, her initial vital signs were stable. She underwent an endoscopy to stop the bleeding. However, identification of the origin of the bleeding failed, and her injury resulted in hemorrhagic shock during the procedure. Head to face contrast computed tomography showed extravasation of contrast media into the maxillary sinus. Transcatheter arterial embolization was performed for the ruptured infraorbital artery branching from the maxillary artery. She recovered from the “shock” state after transcatheter arterial embolization and was admitted to the intensive care unit. There were no complications associated with transcatheter arterial embolization during hospitalization. For this case, early recognition of an active hemorrhage was challenging because the hemorrhage was pooled in the sinuses. Although epistaxis is sometimes fatal, transcatheter arterial embolization can be the first choice for the treatment of life-threatening epistaxis, owing to its safety and effectiveness. |
topic |
Traumatic epistaxis Hemorrhagic shock Transcatheter arterial embolization Maxillary sinus |
url |
http://www.sciencedirect.com/science/article/pii/S235264402100039X |
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