Abstract

Nasal lobular capillary haemangioma (CH), also known as pyogenic granuloma, is a benign lesion of unknown etiology commonly associated with pregnancy, oral contraceptive pills, and trauma. Marked by epistaxis and nasal obstruction, the condition involves benign capillary proliferation with a microscopically distinctive lobular architecture, affecting the skin and mucous membranes of the oral cavity and nasal region. This aim of this article is to report a case of lateral nasal capillary haemangioma in a 39-year-old female, who presented in our facilities having experienced spontaneous epistaxis on the left side of the nose for the previous three months. Endoscopy revealed a protruding left intranasal mass arising from the lateral nasal wall in the region of the middle turbinate and osteo-meatal complex. The patient underwent endoscopic excision of the mass and did excellently well thereafter with no recurrence.

Highlights

  • Nasal lobular capillary haemangioma (CH), formerly known as pyogenic granuloma is an acquired benign vascular proliferation of unknown origin, with a characteristic lobular architecture on microscopy [1]

  • Nasal lobular capillary haemangioma (CH), known as pyogenic granuloma, is a benign lesion of unknown etiology commonly associated with pregnancy, oral contraceptive pills, and trauma

  • Marked by epistaxis and nasal obstruction, the condition involves benign capillary proliferation with a microscopically distinctive lobular architecture, affecting the skin and mucous membranes of the oral cavity and nasal region. This aim of this article is to report a case of lateral nasal capillary haemangioma in a 39-year-old female, who presented in our facilities having experienced spontaneous epistaxis on the left side of the nose for the previous three months

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Summary

Introduction

Nasal lobular capillary haemangioma (CH), formerly known as pyogenic granuloma is an acquired benign vascular proliferation of unknown origin, with a characteristic lobular architecture on microscopy [1]. Haemangiomas arise from a highly vascularized area of the anterior nasal septum known as the locus Valsalva [8], from the nasal vestibule [3] [9], or the lateral wall of the nasal cavity [11]. Scientific literature reports the incidence of intraosseous haemangiomas, found in the inferior turbinate [12] of the maxillary sinus, the floor of the nasal cavity, and the roof of the vestibule [13]. The case is reported in other to highlight the etiology, clinical presentation and treatment of lateral nasal capillary haemangioma and to add to the world literature our own findings. The literature review was done by Electronic searches of the following databases: Web of Knowledge, Web of Science, Google Scholar, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and the digital library JSTOR using key words such as capillary haemangioma, nasal mass, endoscopic excision and nasal surgery

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