{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T14:44:03Z","timestamp":1782485043011,"version":"3.54.5"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2013,7,30]],"date-time":"2013-07-30T00:00:00Z","timestamp":1375142400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215113001576_sec1\"><jats:title>Objectives:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113001576_sec2\"><jats:title>Case report:<\/jats:title><jats:p>A 31-year-old primigravida presented with severe epistaxis in the second trimester of her pregnancy. Conservative measures failed, thereby necessitating surgical intervention.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113001576_sec3\"><jats:title>Conclusion:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215113001576","type":"journal-article","created":{"date-parts":[[2013,7,30]],"date-time":"2013-07-30T13:22:58Z","timestamp":1375190578000},"page":"811-813","source":"Crossref","is-referenced-by-count":11,"title":["Management of prolonged epistaxis in pregnancy: case report"],"prefix":"10.1017","volume":"127","author":[{"given":"K","family":"Cornthwaite","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Varadharajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Oyarzabal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Watson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,7,30]]},"reference":[{"key":"S0022215113001576_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.11.013"},{"key":"S0022215113001576_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1995.tb09031.x"},{"key":"S0022215113001576_ref15","article-title":"Placental transfer and effects of cocaine on uterine blood flow and the fetus","volume":"59","author":"Foutz","year":"1983","journal-title":"Anesthesiology"},{"key":"S0022215113001576_ref12","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2009.188"},{"key":"S0022215113001576_ref11","first-page":"925","volume-title":"Platelets","author":"McCrae","year":"2006"},{"key":"S0022215113001576_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.07.031"},{"key":"S0022215113001576_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200503000-00022"},{"key":"S0022215113001576_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/0892-0362(87)90017-1"},{"key":"S0022215113001576_ref5","first-page":"749","article-title":"Pyogenic granuloma (pregnancy tumor) of the nasal cavity. 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