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Emergency Medicine Journal 2007;24:e28; doi:10.1136/emj.2006.045195
© 2007 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY CASEBOOK

An uncommon cause of Epistaxis: Cartoid Cavernous Fistula

Panupong Jiamsripong, Martina Mookadam, Farouk Mookadam

Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA

Correspondence to:
Correspondence to:
Dr F Mookadam
Department of Medicine, Mayo Clinic, Scottsdale, AZ 85259, USA; mookadam.farouk.@mayo.edu

ABSTRACT

We report on an uncommon cause of epistaxis presenting to the emergency room. Epistaxis is not an uncommon presentation to emergency rooms across the world. The majority are easily controlled and have low mortality. We present a case of a carotid-cavernous fistula presenting with massive epistaxis culmination in cardiovascular collapse and death. Awareness of this entity will reduce the frequency of this condition resulting in major morbidity and mortality.

Abbreviations: CCF, cavernous-carotid sinus fistula


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