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An 84-year-old woman presented with acute facial oedema that developed suddenly 2 h prior to the visit. She had no particular medical history, no episode of neck injury, nor was she on any anticoagulant or antiplatelet agent. CT showed a pharyngeal mass (figure 1), which was confirmed as a retropharyngeal haematoma with a nasopharyngeal fiberscope (figure 2). A clinical …