Bilateral external auditory canal masses following repair of ruptured abdominal aortic aneurysm and open decompressive exploratory laparotomy for compartment syndrome: A rare case of spontaneous bilateral otorrhagia

Richard Andrew Teh; Steven Hoshal; Gillian L Hoshal; Arzu Ozturk; Jennifer Chang; Reza Assadsangabi; Vladimir Ivanovic; Matthew Bobinski; Osama A Raslan

doi:10.1016/j.radcr.2020.10.009

Bilateral external auditory canal masses following repair of ruptured abdominal aortic aneurysm and open decompressive exploratory laparotomy for compartment syndrome: A rare case of spontaneous bilateral otorrhagia

Radiol Case Rep. 2020 Oct 17;15(12):2660-2662. doi: 10.1016/j.radcr.2020.10.009. eCollection 2020 Dec.

Authors

Richard Andrew Teh¹, Steven Hoshal², Gillian L Hoshal³, Arzu Ozturk¹, Jennifer Chang¹, Reza Assadsangabi¹, Vladimir Ivanovic¹, Matthew Bobinski¹, Osama A Raslan¹

Affiliations

¹ Section of Neuroradiology, Department of Radiology, University of California-Davis Medical Center, 2315 Stockton Blvd, Sacramento, CA 95817.
² Department of Otolaryngology, Head and Neck Surgery, University of California-Davis Medical Center, 2315 Stockton Blvd, Sacramento, CA 95817.
³ Department of General Surgery, University of California-Davis Medical Center, 2315 Stockton Blvd, Sacramento, CA 95817.

Abstract

Very few cases of spontaneous otorrhagia (SO) following nonotolaryngologic surgery have ever been reported in surgical literature and none in radiographic. Of the surgical cases reported, SO occurred in the perioperative period following laparoscopic surgeries in the Trendelenburg position. We report the first case of spontaneous bilateral otorrhagia which presented as bilateral external auditory canal masses following endovascular surgery and open decompressive laparotomy in a 60-year-old male with a prior history of hypertension and smoking. We seek to inform radiologists that SO can present on neck imaging as external auditory canal masses as a complication of nonotolaryngologic surgery away from the imaged field of view.

Keywords: Endovascular Surgery; Laparotomy; Otolaryngology; Otorrhagia; Spontaneous.

Publication types

Case Reports