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Case Reports

Epistaxis following post nasal swabbing – the new COVID related emergency?

Authors:

K. M. O. V. Karunathilaka ,

Army Hospital Colombo (AHCBO), LK
About K. M. O. V.
ENT Medical officer
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A. M. P. Drahaman,

Army Hospital Colombo (AHCBO), LK
About A. M. P.
Consultant ENT and Head & Neck Surgeon
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M. T. D. Lakshan,

Nawaloka Hospital Plc, LK
About M. T. D.
Consultant ENT and Head & Neck Surgeon
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M. B. Perera

Warwick Hospital, GB
About M. B.
International clinical fellow
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Abstract

Case overview

A patient who got admitted at term for an elective caesarean section underwent an ‘on admission’ routine nasopharyngeal swabbing for SARS-CoV-2. She developed resistant epistaxis one day after the procedure and was found to have a mucosal injury over the sphenopalatine artery entry point on the left side. She had to undergo an emergency caesarean section followed by endonasal sphenopalatine artery ligation. The epistaxis was successfully dealt with and the mother and baby were discharged 48 hours after surgery.

 

Conclusions

Proper training in nasopharyngeal swab technique is required. Departments need to consider having biodegradable nasal packing material for such instances. In such injuries early endonasal sphenopalatine artery ligation (ESPAL) should be considered as traditional methods available to us were not successful.
How to Cite: Karunathilaka, K.M.O.V., Drahaman, A.M.P., Lakshan, M.T.D. and Perera, M.B., 2020. Epistaxis following post nasal swabbing – the new COVID related emergency?. Ceylon Journal of Otolaryngology, 9(1), pp.68–72. DOI: http://doi.org/10.4038/cjo.v9i1.5299
Published on 31 Dec 2020.
Peer Reviewed

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