Severe Epistaxis Presenting with Deep Anemia: A Case Report

Epistaxis is the most common nasal emergency. In this case report, we aimed to present a patient who presented to the emergency department with epistaxis-related deep anemia in the light of the literature. A 73-year-old male patient applied to the emergency service with nasal bleeding since yesterday despite the nasal tampon. He had epistaxis for three days. The pulse of the patient was 97 beats/min, rhythmic and blood pressure was 90/61 mmHg. The nasal septum was cauterized. Tampon was placed in the right nasal passage again. Bleeding started again after two hours. The laboratory results were hemoglobin 6.7 g/dl and hematocrit 21.5%. On the second day of the hospitalization, the patient was operated due to nasal bleeding. The sphenopalatine artery was endoscopically ligated. The patient was discharged without any complications. Although epistaxis is often self-limited, it can be life-threatening in rare cases. Physicians should keep in mind that surgical treatment may be necessary in the treatment of epistaxis.