双侧鼓室后肿物
Dual retrotympanic aural mass.
作者信息
Che Ab Rahim Nurul Asma, Saniasiaya Jeyasakthy, Kulasegarah Jeyanthi
机构信息
Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia.
Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia
出版信息
BMJ Case Rep. 2021 Apr 12;14(4):e241591. doi: 10.1136/bcr-2021-241591.
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.
高位颈静脉球（HRJB）虽然罕见，但可能会带来挑战，因为它可能被误诊为其他无严重警示的病症，如中耳积液。HRJB患者典型的表现是搏动性耳鸣。我们报告了一例独特的病例，一名26岁患有β地中海贫血的患者，有2个月间歇性鼻出血和鼻漏的病史。耳镜检查发现右鼓膜后有一个搏动性蓝色肿物，左鼓膜混浊。影像学检查显示鼓室后有双重病变，包括右侧颈静脉球高位裸露和左侧胆固醇肉芽肿。我们强调了一例罕见的鼓室后双重肿物病例及其处理方法。
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