Tips for controlling a
bleeding point include percutaneous placement of a suture ligature over a roll of gauze or using a Foley catheter to tamponade the bleeder
Presence of signs of periodontal disease was high for this group of mothers showing a 63% prevalence of
bleeding points, which implies the presence of an active inflammation process at the time of dental examination.
Surgical endoscopic cautery can be used to control the bleeding in cases of idiopathic epistaxis, if the
bleeding point is visualised.
In this the catheter is placed distal to the bleeding site followed by placement of coil, and then the catheter is withdrawn proximal to the bleeding site with deployment of another coil to sandwich the
bleeding point in between.
The detection of endoscopically inevident RVs was possible only by EUS in two cases, and potentially hazardous application of endoclips or coagulation methods on a
bleeding point was avoided [1,6, 7,12].
All patients underwent a complete set of investigations including history, physical examination and nasal endoscopy to look for any
bleeding point. If the bleeding did not stop by conservative means, anterior and posterior nasal packing was done for 48 to 72 hours in these patients and they were admitted.
One was for focal
bleeding point on the residual thymic tissue, and t we could not determine the reason for bleeding in other case of revision.
Their gastroscopy results were normal or only showed basic manifestations of nonatrophic gastritis, such as erythema (point-like, sheet, or strip), rough mucous membrane,
bleeding point, or mucosal edema.
Most cases of epistaxis in our study could be managed by electrocautery if the
bleeding point was localized.
Patients of either sex between the ages of 12-75 years, with posterior epistaxis, where no anterior
bleeding point was visualized in nasal cavity and bleeding could not be controlled by anterior nasal packing, were included in the study.
With this approach, every
bleeding point can be seen and treated carefully.
In our study, more than 50% patients had massive hemoptysis, about 70% patients can't be identified
bleeding point by chest CT, 41% patients hemorrhage source from two lungs according the bronchial arteriography.
