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A base of skull fracture presenting as haematemesis

Published online by Cambridge University Press:  08 March 2006

A. S. Cruise
Affiliation:
Department of Otolaryngology, Royal Surrey County Hospital, Guildford, UK.
J. Bryson
Affiliation:
Department of Otolaryngology, Royal Surrey County Hospital, Guildford, UK.
N. Solomons
Affiliation:
Department of Otolaryngology, Royal Surrey County Hospital, Guildford, UK.

Abstract

In a patient presenting with haematemesis, known to have oesophageal varices, the bleeding would be expected to be from those varices. This case demonstrates an unusual presentation of a base of skull fracture; blood from a fracture of the temporal bone had run from the middle ear through the eustachian tube to the pharynx. It demonstrates the need to remainvigilant even when the diagnosis appears to be obvious.

Type
Research Article
Copyright
© Royal Society of Medicine Press Limited 2002

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