• Emerg Med J · May 2007

    Case Reports

    An uncommon cause of epistaxis: cartoid cavernous fistula.

    • Panupong Jiamsripong, Martina Mookadam, and Farouk Mookadam.
    • Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ 85259, USA.
    • Emerg Med J. 2007 May 1; 24 (5): e28.

    AbstractWe report on an uncommon cause of epistaxis presenting to the emergency room. Epistaxis is not an uncommon presentation to emergency rooms across the world. The majority are easily controlled and have low mortality. We present a case of a carotid-cavernous fistula presenting with massive epistaxis culmination in cardiovascular collapse and death. Awareness of this entity will reduce the frequency of this condition resulting in major morbidity and mortality.

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