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Dual retrotympanic aural mass
  1. Nurul Asma Che Ab Rahim,
  2. Jeyasakthy Saniasiaya and
  3. Jeyanthi Kulasegarah
  1. Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia
  1. Correspondence to Dr Jeyasakthy Saniasiaya; shakthy_18{at}yahoo.com

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.

  • ear
  • nose and throat/otolaryngology
  • radiology

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Footnotes

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  • Contributors NACAR: Drafting, writing, literature review and final approval. JS: Editing, literature review and final approval. JK: Editing and final approval.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.