The problem with nose bleeds.
Epistaxis is common in the paediatric population and is usually minor and self limiting. This case illustrates an atypical presentation of epistaxis with hypovolaemic shock due to a dissecting false aneurysm of the internal carotid artery caused by an impalement injury to the oropharynx.
Dai
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A
Kingston Hospital, Galsworthy Road, Kingston-upon-Thames, Surrey KT2 7QB, UK. anniedai@fsmail.net
Jurges
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E
D017541:Aneurysm, False / Q000150:complications*; D020215:Carotid Artery, Internal, Dissection / Q000150:complications*; D004844:Epistaxis / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D009960:Oropharynx / Q000293:injuries*; D012769:Shock / Q000209:etiology; D014950:Wounds, Penetrating / Q000150:complications*