Life-threatening haemorrhage after elevation of a fractured zygoma.
A 21-year-old man presented with a fractured left zygoma after an alleged assault. The fracture was elevated four days later, at which time he had a brisk left-sided epistaxis. Recovery was uneventful except for a haematoma that was drained a month later. Two weeks after this, he was admitted after having collapsed. He was shocked and bleeding profusely from his nose. He had a further major bleed in hospital and this was treated by tying off the left external carotid artery. He has made an uneventful recovery and investigations have shown no bleeding diathesis.
Hollow
P
P
Rotherham District General Hospital, UK.
D'Sa
A
A
McAndrew
P G
PG
D000328:Adult; D001803:Blood Transfusion; D002342:Carotid Artery, External / Q000601:surgery*; D004844:Epistaxis / Q000209:etiology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000009:adverse effects*; D006801:Humans; D008297:Male; D019106:Postoperative Hemorrhage / Q000601:surgery*; D015051:Zygomatic Fractures / Q000601:surgery*