Epístaxis grave recidivante secundaria a traumatismo nasal. Presentación de un caso atípico en varón de 22 años / Recurrent and severe epistaxis secondary to nasal trauma. Report of an atypical case in a 22 years-old-male

Presentamos el caso de un varón de 22 años que tras traumatismo nasal presentó epístaxis diferida y persistente grave que requirió varios ingresos hospitalarios y diversos tratamientos. Concretamente se realizaron por orden cronológico taponamiento s anteriores, ligadura-cauterización endoscópica de la arteria esfenopalatina, taponamiento posterior clásico y finalmente una nueva CENS con cauterización de la arteria etmoidal anterior. Además fue necesario transfundir para remontar la anemia del paciente cuya estancia global fue de 16 días. Las epístaxis refractarias postraumáticas son muy poco comunes pero ocasionalmente pueden suponer un problema difícil de resolver

We report the case of a 22 years old male who presented a diferred, recurrent and severe epistaxis after nasal trauma which required several admissions in our hospital and different treatments. Concretely by chronological order it has been practiced anterior tamponades, endoscopic ligature-cauterization of the sphenopalatine artery, classic posterior packing and finally a new FENS with cauterization of anterior ethmoidal artery. Besides it was necessary a transfusion to go up the anemia suffered by the patient whose global stay was 16 days. Recurrent postraumatic epistaxis are very rare but can be represent a difficult problem to solve

[Recurrent and severe epistaxis secondary to nasal trauma. Report of an atypical case in a 22-year-old male]. / Epistaxis grave recidivante secundaria a traumatismo nasal. Presentación de un caso atípico en varón de 22 años.

We report the case of a 22-year-old male who presented a diferred, recurrent and severe epistaxis after nasal trauma which required several admissions in our hospital and different treatments. Concretely by chronological order it has been practiced anterior tamponades, endoscopic ligature-cauterization of the sphenopalatine artery, classic posterior packing and finally a new FENS with cauterization of anterior ethmoidal artery. Besides it was necessary a transfusion to go up the anemia suffered by the patient whose global stay was 16 days. Recurrent postraumatic epistaxis are very rare but can be represent a difficult problem to solve.