title: Management of prolonged epistaxis in pregnancy: case report.
abstract: OBJECTIVE
  To report a case of life-threatening epistaxis in a pregnant patient, describe the links between pregnancy and epistaxis, and discuss the management of such cases. Life-threatening epistaxis in pregnancy is rare, and there are no specific evidence-based guidelines regarding the management of these patients.
  
  
  METHODS
  A 31-year-old primigravida presented with severe epistaxis in the second trimester of her pregnancy. Conservative measures failed, thereby necessitating surgical intervention.
  
  
  CONCLUSIONS
  This case illustrates the importance of a multidisciplinary approach in the management of a pregnant patient presenting with severe epistaxis, and highlights the surgical challenges presented in such a situation.
authors.affiliation: Department of Otorhinolaryngology, Medway Maritime Hospital, Gillingham, UK.
authors.forename: K
authors.initials: K
authors.lastname: Cornthwaite
authors.forename: K
authors.initials: K
authors.lastname: Varadharajan
authors.forename: M
authors.initials: M
authors.lastname: Oyarzabal
authors.forename: H
authors.initials: H
authors.lastname: Watson
mesh_terms: D000328:Adult; D004844:Epistaxis / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D009296:Nasal Cavity / Q000601:surgery*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D011262:Pregnancy Trimester, Second