Báo cáo hóa học: Bilateral hemotympanum as a result of spontaneous epistaxis

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Bilateral hemotympanum as a result of spontaneous epistaxis
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Báo cáo hóa học: " Bilateral hemotympanum as a result of spontaneous epistaxis"Fidan et al. International Journal of Emergency Medicine 2011, 4:3http://www.intjem.com/content/4/1/3 CASE REPORT Open AccessBilateral hemotympanum as a result ofspontaneous epistaxisVural Fidan1*, Kemal Ozcan2, Filiz Karaca3 Abstract Hemotympanum is a rare condition and usually depends on a secondary reason. Therefore, idiopathic hemotympanum is rarely seen in the literature. In this paper, we report a case of this problem.Introduction or ecchymoses on the skin or mucous membranes. Her hematologic, biochemical and coagulation tests wereHemotympanum is most often associated with basilar also normal. Temporal bone fracture was ruled out byskull fractures or nasal packing. Only six cases asso- computed tomography scan.ciated with spontaneous epistaxis have been described She was referred to the emergency department 2 daysin the literature [1,2]. Because of this rare situation, we after the problem had started. In our examination, wepresent the case of a 51-year-old woman with bilateral found bilateral blue ear drums (Figures 1 and 2), inac-hemotympanum secondary to spontaneous epistaxis. tive epistaxis and septal excoriation (Figure 3). AnInitial evaluation must include an audiogram and radi- audiogram demonstrated moderate bilateral conductiveological imaging (computed tomography, magnetic reso- hearing loss, and the tympanogram findings were type bnance imaging, etc.). Close follow-up of the patient is (flat type). After consulting an otolaryngologist, we pre-necessary for reducing the risk of long-term sequelae scribed amoxicillin (2 g/day). Five days after starting thesuch as cholesterol granuloma [3]. medication, the patient ’s otoscopic findings and tem-Case report poral MRI were normal at the control visit. Idiopathic or spontaneous hemotympanum is anA 51-year-old woman was referred to the emergency uncommon disorder characterized by a black-blue tym-department with a complaint of epistaxis associated panic membrane discoloration as a result of recurrentwith exercise. She had been sweeping her house when hemorrhage in the middle ear or mastoid in the pre-she noticed the epistaxis. Her history indicated that sence of Eustachian tube obstruction. Initial evaluationafter epistaxis had started, she went to the sink and of a blue middle ear mass includes an audiogram andcleaned her nose with water. She had pressed on her computed tomography (CT) scan with intravenous con-nose and called an ambulance. About 30 min after the trast. CT may identify congenital vascular malformationstart of epistaxis, an ambulance and emergency doctor or bone erosion due to chronic otitis media or tumors.arrived. The bleeding stopped while she was in the A magnetic resonance imaging (M ...