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Dual retrotympanic aural mass

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...

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Main Authors: Che Ab Rahim, Nurul Asma, Saniasiaya, Jeyasakhty, Kulasegarah, Jeyanthi
Format: Article
Published: BMJ Publishing Group 2021
Subjects:
RF Otorhinolaryngology
Online Access:http://eprints.um.edu.my/35565/
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spelling my.um.eprints.355652023-10-13T06:31:30Z http://eprints.um.edu.my/35565/ Dual retrotympanic aural mass Che Ab Rahim, Nurul Asma Saniasiaya, Jeyasakhty Kulasegarah, Jeyanthi RF Otorhinolaryngology 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. BMJ Publishing Group 2021-04 Article PeerReviewed Che Ab Rahim, Nurul Asma and Saniasiaya, Jeyasakhty and Kulasegarah, Jeyanthi (2021) Dual retrotympanic aural mass. BMJ Case Reports, 14 (4). ISSN 1757-790X, DOI https://doi.org/10.1136/bcr-2021-241591 <https://doi.org/10.1136/bcr-2021-241591>. 10.1136/bcr-2021-241591
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RF Otorhinolaryngology
spellingShingle RF Otorhinolaryngology
Che Ab Rahim, Nurul Asma
Saniasiaya, Jeyasakhty
Kulasegarah, Jeyanthi
Dual retrotympanic aural mass
description 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.
format Article
author Che Ab Rahim, Nurul Asma
Saniasiaya, Jeyasakhty
Kulasegarah, Jeyanthi
author_facet Che Ab Rahim, Nurul Asma
Saniasiaya, Jeyasakhty
Kulasegarah, Jeyanthi
author_sort Che Ab Rahim, Nurul Asma
title Dual retrotympanic aural mass
title_short Dual retrotympanic aural mass
title_full Dual retrotympanic aural mass
title_fullStr Dual retrotympanic aural mass
title_full_unstemmed Dual retrotympanic aural mass
title_sort dual retrotympanic aural mass
publisher BMJ Publishing Group
publishDate 2021
url http://eprints.um.edu.my/35565/
_version_ 1781704483712008192
score 13.188404

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