Case report reveals effective endoscopic sphenopalatine artery ligation for managing posterior epistaxis, indicating the need to consider this condition in hematemesis cases.
Background: Posterior epistaxis is a rare but potentially life-threatening condition that may be misdiagnosed as upper gastrointestinal bleeding due to similar clinical manifestations such as hematemesis. Case Presentation: We report a diagnostically challenging case of a 67-year-old woman presenting with hematemesis, initially suspected as gastrointestinal bleeding. Despite multiple interventions, the source of bleeding remained unclear until contrast-enhanced CT and otorhinolaryngology consultation revealed posterior nasal bleeding. The patient was successfully treated with endoscopic sphenopalatine artery ligation (ESPAL). Conclusion: This case highlights the importance of considering posterior epistaxis in the differential diagnosis of hematemesis and demonstrates the effectiveness of ESPAL in managing life-threatening epistaxis.
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So Jeong Kim (2025) studied this question.
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