• Am J Emerg Med · Sep 2021

    Case Reports

    An unusual case of epistaxis in a four month old.

    • Aaron E Robinson, Jen D Robinson, Ashley M Strobel, Emily A Wagner, and Stephen W Smith.
    • Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, 55404, United States of America. Electronic address: aaron.robinson.em.md@gmail.com.
    • Am J Emerg Med. 2021 Sep 1; 47: 228-230.

    AbstractEpistaxis is a routine complaint in Emergency Medicine and presents most commonly in adults and children and its incidence increases with age. It is rare in infants and neonates. We discuss a case of epistaxis in a four-month-old male who presented to a critical access hospital. What initially appeared to be routine brisk epistaxis was later discovered to be a large, complex, epiglottic hemangioma. The patient was stabilized using topical tranexamic acid, nasal packing with ketamine sedation, and sent to a tertiary care center for definitive management. He required advanced airway management in the OR for definitive airway management for airway-obstructing hemangioma excision.Copyright © 2021 Elsevier Inc. All rights reserved.

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