A case of recurrent glomus tympanicum presenting with epistaxis is describe
d. CT and MR imaging revealed a homogeneously enhancing mass extending alon
g the entire course of the eustachian tube, with a portion protruding into
the nasopharynx. Glomus tumors tend to spread along the path of least resis
tance and may extend into the eustachian tube. The unique imaging appearanc
e should place a glomus tumor high on the list of differential diagnoses.