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Case Reports in Otolaryngology
Volume 2016, Article ID 8504348, 4 pages
http://dx.doi.org/10.1155/2016/8504348
Case Report

Recurrent Massive Epistaxis from an Anomalous Posterior Ethmoid Artery

Unità Operativa Complessa di Otorinolaringoiatria, Azienda Ospedaliero-Universitaria Policlinico di Modena, Italy Via del Pozzo 71, 41124 Modena, Italy

Received 27 June 2016; Accepted 16 November 2016

Academic Editor: Marco Berlucchi

Copyright © 2016 Marco Giuseppe Greco et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 50-year-old man, with no previous history of epistaxis, was hospitalized at our facility for left recurrent posterior epistaxis. The patient underwent surgical treatment three times and only the operator’s experience and radiological support (cranial angiography) allowed us to control the epistaxis and stop the bleeding. The difficult bleeding management and control was attributed to an abnormal course of the left posterior ethmoidal artery. When bleeding seems to come from the roof of the nasal cavity, it is important to identify the ethmoid arteries always bearing in mind the possible existence of anomalous courses.