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Case Reports
. 2015 Jun 25:2015:bcr2015210159.
doi: 10.1136/bcr-2015-210159.

Spontaneous sphenopalatine pseudoaneurysm: recurrent epistaxis in a patient with cryptogenic vasculopathy

Samantha Goh  1 , Louisa Ritchie  1 , Theo Joseph  1 , Jocelyn Brookes  2
Affiliations
Case Reports

Spontaneous sphenopalatine pseudoaneurysm: recurrent epistaxis in a patient with cryptogenic vasculopathy

Samantha Goh et al. BMJ Case Rep. .

Abstract

We present a unique case of recurrent epistaxis secondary to a spontaneous sphenopalatine artery aneurysm in a young woman. This was investigated with an external carotid artery angiogram and subsequently treated successfully with endovascular embolisation of the aneurysm.

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Figures

Figure 1
Figure 1
Right external carotid artery (ECA) angiography pre-embolisation; fusiform dilation of microbranch of the ECA. Appearance suggestive of pseudoaneurysm, marked with an asterisk (*).
Figure 2
Figure 2
Selective right external carotid artery angiography pre-embolisation; fusiform dilation of pseudoaneurysm identified as coming from a branch of sphenopalatine artery, marked with an asterisk (*).
Figure 3
Figure 3
Selective right external carotid artery angiography, postembolisation; preservation of normal vasculature. Sphenopalatine artery aneurysm successfully embolised.
See this image and copyright information in PMC

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