Glomus Tympanicum: A rare case of a painful bleeding ear

Glomus tympanicum is a rare tumor of the middle ear which typically present with pulsatile tinnitus, hearing loss and bleeding. Examination may reveal a vascular mass which bleed on contact. Imaging is important prior to surgical resection. Statement of the problem: Here we present a rare case of a young man who presented with left ear bleeding and otalgia. Result: Examination and imaging showed a vascular mass in the left external ear canal, left middle ear and involving the surrounding structures. Conclusion: A differential of glomus tympanicum must be considered in cases which present with bleeding left external auditory canal mass and otalgia, although the most common presentations are hearing loss and tinnitus.