Abstract
We report a case of maxillary hematocele with idiopathic thrombocytopenic purpura (ITP). A 45-year-old man seen for nasal bleeding and cheek swelling had not benefitted from treatment elsewhere, since his nasal cavity tumor continued growing, and concomitant bleeding from treatment induced canine fossa and left cheek fistula perforations. Magnetic resonance imaging of the tumor showed varied intensities in the lesion. Computed tomography showed bone destruction from nonuniform tumor enhanement, suggesting maxillary hematocele. We transfused high-dose γ globulin and p. concentrate and ligated the external carotid artery preoperatively to control bleeding and resected the tumor completely using Weber's incision. The definitive pathological diagnosis was hematocele and tissue granulation. We suspected that the hemorrhagic trend due to ITP was related the hematocele.
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