An Interesting Cause of Epistaxis: Spontaneous Adenoid Bleeding

Spontaneous Adenoid Hemorrhage

In the first endoscopic examination performed with Karl Storz 0 degree nasal endoscope inside the nose of the patient who presented with the complaint of nasal bleeding, no active bleeding area was found. He states that after a slight increase in the patient's blood pressure or after severe nasal blowing, nosebleeds begin. In clinics where the patient applied due to previous nasal bleeding, the cause of the nose bleeding and the location of the bleeding area could not be determined. In the second examination performed under general anesthesia using the Karl Storz 70 degree endoscope from inside the mouth, an active bleeding area is observed on the left side of the adenoid. Bleeding occurred after contacting the aspirator. The bleeding area is stopped by cauterizing with the help of bipolar radiofrequency. Normally, I have only examined a patient with epistaxis due to bleeding from the adenoid tissue just once in my professional life.

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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