Hemangioma capilar lobular do vestíbulo nasal, uma causa rara de epistaxis

Abstract

Introduction: Lobular capillary hemangioma is a benign vascular neoplasia, frequent in the head and neck but extremely rare in the nasal vestibule. The present case aims to highlight the relevance of this clinical entity in the differential diagnosis of hemorrhagic lesions of the nasal cavity. Case Report: A 22 year-old male presented to the emergency department complaining of a 15 days history of epistaxis and nasal obstruction. Anterior rhinoscopy showed a pediculate lesion, implanted on the inferior border of the left nasal vestibule. A total excision was performed under local anesthesia. The histological examination confirmed the diagnosis of a capillary lobular hemangioma. Conclusion: Due to their rampant behavior, rapid growth and epistaxis, capillary lobular hemangiomas can be misdiagnosed with malignant neoplasms. This usually implies an extensive and needless workup.