Affiliations 

  • 1 Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia
  • 2 Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia shakthy_18@yahoo.com
BMJ Case Rep, 2021 Apr 12;14(4).
PMID: 33846192 DOI: 10.1136/bcr-2021-241591

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.