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The problem with nose bleeds
  1. A Dai,
  2. E Jurges
  1. Kingston Hospital, Galsworthy Road, Kingston-upon-Thames, Surrey, KT2 7QB
  1. Correspondence to:
 Dr A Dai
 Kingston Hospital, Galsworthy Road, Kingston-upon-Thames, Surrey KT2 7QB, UK;


Epistaxis is common in the paediatric population and is usually minor and self limiting. This case illustrates an atypical presentation of epistaxis with hypovolaemic shock due to a dissecting false aneurysm of the internal carotid artery caused by an impalement injury to the oropharynx.

  • Dissecting aneurysm
  • epistaxis
  • impalement of oropharynx
  • internal carotid artery
  • nose bleeds

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  • Competing interests: none declared