Endovascular treatment of persistent epistaxis due to pseudoaneurysm formation of the ophthalmic artery secondary to nasogastric tube.
We present the case of a 60-year-old man with persistent epistaxis for 20 days that had started 2 weeks after removal of a nasogastric tube placed for an abdominal operation. There was no pathologic finding at selective facial and internal maxillary artery injections. An injury to the ethmoidal branches of the ophthalmic arteries or other arterial origins of bleeding was suspected. The internal carotid artery angiography revealed a pseudoaneurysm of an anterior ethmoidal branch of the left ophthalmic artery. The pseudoaneurysm was occluded with NBCA-histoacryl (25%) injection.
Selcuk
Hakan
H
Department of Radiology, Division of Neuroradiology, Cerrahpasa Medical School, Istanbul University, 34300 KMP Istanbul, Turkey. hakanselcuk73@yahoo.com
Soylu
Nur
N
Albayram
Sait
S
Selcuk
Dogan
D
Ozer
Harun
H
Kocer
Naci
N
Islak
Civan
C
D017541:Aneurysm, False / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000627:therapeutic use; D004844:Epistaxis / Q000628:therapy*; D005005:Ethmoid Sinus / Q000098:blood supply; D005500:Follow-Up Studies; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects* / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D009880:Ophthalmic Artery / Q000293:injuries*; D014014:Tissue Adhesives / Q000627:therapeutic use
D014014:Tissue Adhesives; D004659:Enbucrilate