Successful management of severe epistaxis in a dog with leishmaniasis using nasal balloon catheters and carotid artery ligation

摘要

This case describes a dog with severe epistaxis due to an infection with Leishmania infantum. The dog was hypovolemic and anaemic at presentation. Standard treatment with sedation and application of gauzes with epinephrine was unsuccessful. The bleeding was temporarily controlled by applying two balloon catheters in the right nasal passage under general anaesthesia. The bleeding recurred after one of the catheters got displaced. Ultimately, the right common carotid artery was ligated, after which right-sided epistaxis did not recur.