Dual retrotympanic aural mass

Document Type

Article

Publication Date

4-1-2021

Abstract

High-riding jugular bulb (HRJB), although rare, may pose a challenge as it may be mistaken for other non-Alarming condition, such as middle ear effusion. Patients with HRJB classically present with pulsatile tinnitus. We report a unique case of a 26-year-old patient with underlying beta thalassaemia who presented with a 2-month history of intermittent epistaxis and rhinorrhoea. Otoscopic examinations revealed a pulsatile bluish mass behind the right tympanic membrane and a dull left tympanic membrane. Imaging performed revealed a finding of dual retrotympanic pathology, which consisted of a right dehiscent HRJB and left cholesterol granuloma. We highlight a rare case of dual retrotympanic mass as well as its management. © 2021 BMJ Publishing Group. All rights reserved.

Keywords

Ear, Nose and throat/otolaryngology, Radiology

Publication Title

BMJ Case Reports

Divisions

otorhino

Funders

None

Volume

14

Issue

4

Publisher

BMJ Publishing Group

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