{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:40:04Z","timestamp":1756291204827,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,5,17]]},"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p>The majority of epistaxes are anterior in nature, resolve with simple first aid measures and require no further follow-up. However, some cases pose more of a diagnostic challenge and prove resistant to standard investigation and treatment. We present a case of recurrent epistaxis, refractory to multiple treatment modalities and with CT imaging suggestive of a vascular aetiology which was ultimately disproved. The case highlights the shortcomings of CT imaging and importance of thorough examination technique. Nasal haemangiomas are a rare but recognised cause of epistaxis and should be considered in refractory cases.<\/jats:p>","DOI":"10.1136\/bcr-2019-230737","type":"journal-article","created":{"date-parts":[[2019,6,22]],"date-time":"2019-06-22T13:35:13Z","timestamp":1561210513000},"page":"e230737","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Recurrent epistaxis secondary to nasal haemangioma with a misleading CT angiogram"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0104-9565","authenticated-orcid":false,"given":"Oliver","family":"Wright","sequence":"first","affiliation":[{"name":"Otolaryngology Department, Brighton and Sussex University Hospitals NHS Trust, Brighton, Brighton and Hove, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Bowles","sequence":"additional","affiliation":[{"name":"Otolaryngology Department, Brighton and Sussex University Hospitals NHS Trust, Brighton, Brighton and Hove, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Pelser","sequence":"additional","affiliation":[{"name":"Otolaryngology Department, Brighton and Sussex University Hospitals NHS Trust, Brighton, Brighton and Hove, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,6,22]]},"reference":[{"key":"2025082702580446000_12.6.e230737.1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-213528"},{"key":"2025082702580446000_12.6.e230737.2","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2004.025007"},{"key":"2025082702580446000_12.6.e230737.3","doi-asserted-by":"publisher","DOI":"10.1007\/BF01850866"},{"key":"2025082702580446000_12.6.e230737.4","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1975.43.3.0288"},{"key":"2025082702580446000_12.6.e230737.5","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20081"},{"key":"2025082702580446000_12.6.e230737.6","unstructured":"Iuliu VC , Marcel C . Cavernous haemangioma of the nasal cavity: a rare cause for epistaxis. Romanian Journal of Rhinology 2014;4. No. 16."},{"key":"2025082702580446000_12.6.e230737.7","doi-asserted-by":"crossref","first-page":"567","DOI":"10.4236\/crcm.2018.711051","article-title":"Lateral nasal capillary haemangioma a rare occurrence\u2014case report and literature review","volume":"7","author":"Shuaib","year":"2018","journal-title":"Case Reports in Clinical Medicine"},{"key":"2025082702580446000_12.6.e230737.8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199812103392401"},{"key":"2025082702580446000_12.6.e230737.9","first-page":"33","article-title":"Update on management of epistaxis","volume":"1","author":"Hill","year":"2009","journal-title":"The West London Medical Journal"},{"key":"2025082702580446000_12.6.e230737.10","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1097\/00000478-198010000-00007","article-title":"Lobular capillary hemangioma: the underlying lesion of pyogenic granuloma. A study of 73 cases from the oral and nasal mucous membranes","volume":"4","author":"Mills","year":"1980","journal-title":"Am J Surg Pathol"},{"key":"2025082702580446000_12.6.e230737.11","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215111001654"},{"key":"2025082702580446000_12.6.e230737.12","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2006.20.2878"},{"key":"2025082702580446000_12.6.e230737.13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2011\/431365","article-title":"Intraosseous cavernous hemangioma of inferior turbinate: a rare case report","volume":"2011","author":"Akiner","year":"2011","journal-title":"Case Rep Otolaryngol"},{"key":"2025082702580446000_12.6.e230737.14","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1017\/S0022215100139027","article-title":"Lobular capillary haemangioma (pyogenic granuloma) of the nose","volume":"111","author":"el-Sayed","year":"1997","journal-title":"J Laryngol Otol"},{"key":"2025082702580446000_12.6.e230737.15","doi-asserted-by":"crossref","first-page":"8952","DOI":"10.4076\/1757-1626-2-8952","article-title":"Nasal septal lobular capillary haemangioma in West Africa sub-region: a case report","volume":"2","author":"Fasunla","year":"2009","journal-title":"Cases J"},{"key":"2025082702580446000_12.6.e230737.16","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1093\/neuros\/nyw113","article-title":"Comparison between CTA and digital subtraction angiography in the diagnosis of ruptured aneurysms","volume":"80","author":"Philipp","year":"2017","journal-title":"Neurosurgery"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-230737","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:58:15Z","timestamp":1756288695000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-230737"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6]]},"references-count":16,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2019,6,22]]},"published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1136\/bcr-2019-230737"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-230737","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,6]]}}}