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The problem with nose bleeds

Abstract

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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