Management of Severe Epistaxis during Pregnancy: A Case Report and Review of the Literature
Background. 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....
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/5825309 |
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| author | Maria Grazia Piccioni Martina Derme Laura Salerno Elisa Morrocchi Francesco Pecorini Maria Grazia Porpora Roberto Brunelli |
| author_facet | Maria Grazia Piccioni Martina Derme Laura Salerno Elisa Morrocchi Francesco Pecorini Maria Grazia Porpora Roberto Brunelli |
| author_sort | Maria Grazia Piccioni |
| collection | DOAJ |
| description | Background. 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. Case. 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. Conclusion. 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. |
| format | Article |
| id | doaj-art-73bb49b0eb88431097bc3f2eddb343d2 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-73bb49b0eb88431097bc3f2eddb343d22025-02-03T05:48:06ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/58253095825309Management of Severe Epistaxis during Pregnancy: A Case Report and Review of the LiteratureMaria Grazia Piccioni0Martina Derme1Laura Salerno2Elisa Morrocchi3Francesco Pecorini4Maria Grazia Porpora5Roberto Brunelli6Department of Gynecological, Obstetrical and Urological Sciences, University of Rome “Sapienza”, Viale del Policlinico, 155, 00161 Rome, ItalyDepartment of Gynecological, Obstetrical and Urological Sciences, University of Rome “Sapienza”, Viale del Policlinico, 155, 00161 Rome, ItalyDepartment of Gynecological, Obstetrical and Urological Sciences, University of Rome “Sapienza”, Viale del Policlinico, 155, 00161 Rome, ItalyDepartment of Gynecological, Obstetrical and Urological Sciences, University of Rome “Sapienza”, Viale del Policlinico, 155, 00161 Rome, ItalyDepartment of Gynecological, Obstetrical and Urological Sciences, University of Rome “Sapienza”, Viale del Policlinico, 155, 00161 Rome, ItalyDepartment of Gynecological, Obstetrical and Urological Sciences, University of Rome “Sapienza”, Viale del Policlinico, 155, 00161 Rome, ItalyDepartment of Gynecological, Obstetrical and Urological Sciences, University of Rome “Sapienza”, Viale del Policlinico, 155, 00161 Rome, ItalyBackground. 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. Case. 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. Conclusion. 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.http://dx.doi.org/10.1155/2019/5825309 |
| spellingShingle | Maria Grazia Piccioni Martina Derme Laura Salerno Elisa Morrocchi Francesco Pecorini Maria Grazia Porpora Roberto Brunelli Management of Severe Epistaxis during Pregnancy: A Case Report and Review of the Literature Case Reports in Obstetrics and Gynecology |
| title | Management of Severe Epistaxis during Pregnancy: A Case Report and Review of the Literature |
| title_full | Management of Severe Epistaxis during Pregnancy: A Case Report and Review of the Literature |
| title_fullStr | Management of Severe Epistaxis during Pregnancy: A Case Report and Review of the Literature |
| title_full_unstemmed | Management of Severe Epistaxis during Pregnancy: A Case Report and Review of the Literature |
| title_short | Management of Severe Epistaxis during Pregnancy: A Case Report and Review of the Literature |
| title_sort | management of severe epistaxis during pregnancy a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2019/5825309 |
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