Ear Syringing Causing Petrous (Carotido-Tympanic) Internal Carotid Artery Pseudo-Aneurysm Rupture Epistaxsis And Bloody Otorrhea

This report highlights an unusual presentation of a rare carotidotympanic internal carotid artery aneurysm rupture presenting as a middle ear mass, profuse bloody otorrhea, anterior and posterior epistaxsis from a minor trauma of ear syringing for impacted wax. Early diagnosis and radiological intervention by a radiologist is important to stop the bleeding and prevent a fatal outcome. A coronary covered stent was used to control the bleeding successfully. Life long follow-up and management to prevent future bleeding and stent complications is required. This is the first case reported in this community with rupture of congenital carotidotympanic (petrous) internal carotid artery aneurysm and the use of coronary covered stent.