Management of Severe Epistaxis during Pregnancy: A Case Report and Review of the Literature

Case Reports in Obstetrics and Gynecology
Maria Grazia PiccioniRoberto Brunelli

Abstract

Epistaxis is a common problem during pregnancy. Few cases of severe epistaxis, not associated with nasal lesions or clotting disorders, were described in the literature. We reported a case of severe epistaxis in a pregnant patient, exploring all the different possible management options. A 33-year-old primigravida, who was 38 weeks pregnant, presented with spontaneous severe left-sided epistaxis. Her blood pressure was into normal ranges. Clotting disorders and nasal lesions were excluded. The patient clinical worsening, due to severe anemia, and the failure of conservative treatment have imposed an emergency caesarean section, with an immediate resolution of the nasal bleeding. Treatment of severe epistaxis must always consider conservative measures first-line with early recourse to otolaryngologist. In general, delivery of the fetus is considered curative.

References

Jan 1, 1985·The Journal of Laryngology and Otology·D J Howard
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Aug 1, 1995·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·J M Braithwaite, D L Economides
Jan 5, 2002·The Journal of Otolaryngology·S E SobolC Teblum
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Nov 26, 2009·Obstetrics and Gynecology·Melissa Dugan-KimDana R Gossett
May 19, 2010·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Gülşah AynaoğluFeride Söylemez
Aug 2, 2012·Allergy & Rhinology·Gregg Goldstein, Satish Govindaraj
Aug 1, 2013·The Journal of Laryngology and Otology·K CornthwaiteH Watson
Apr 29, 2014·Frontiers in Pharmacology·Maged M Costantine
Oct 11, 2014·BMJ Case Reports·Rosa Elizabeth Mary CrunkhornJameel Muzaffar

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