Abstract
The diagnosis of intranasal masses can often be confusing due to the diversity of inflammatory and neoplastic lesions affecting the sinonasal tract, and the ambiguity of symptoms. Haemangiomas have been described in head and neck. However, uncommon findings such as bony remodelling and unusual clinical appearance of mass were noted in the present case. The description of such non-classical presentations is essential in deciding further management and preventing plausible hemodynamic imbalance.
Highlights
Sinonasal lobular capillary haemangioma (LCH) is infrequent, classically arising from anterior nasal septal mucosa (1)
We report a case of lobular capillary haemangioma (LCH) of nasal cavity arising from anterior part of septum
Nasal obstruction was gradually progressive, left-sided, occasionally associated with mucoid discharge, following which a painless mass appeared in the left nasal cavity
Summary
Sinonasal lobular capillary haemangioma (LCH) is infrequent, classically arising from anterior nasal septal mucosa (1). We report a case of lobular capillary haemangioma (LCH) of nasal cavity arising from anterior part of septum. There was no history suggestive of sinusitis, allergy, ocular or aural disease; she was postmenopausal, without comorbidities She had undergone a lesional biopsy elsewhere, following which pain and excessive bleeding occurred, for which nasal packing was done. Examination revealed a diffuse 2x1 cm swelling over left side of dorsum, obliterating nasomaxillary groove laterally (Fig. 1) It was non-tender, hard, with no local rise of temperature, not involving orbit or superficial skin. Anterior rhinoscopy revealed a single, pinkish-white, smooth, globular, mucosa covered mass reaching the vestibule causing complete left nasal cavity obliteration (Fig. 2). Dosemane et al: Lobular capillary haemangioma of nasal septum with remodelling of bony lateral wall circumscribed mass in anterior part of nasal cavity with no bony destruction. The patient is under regular follow-up, with no evidence of recurrence one year after surgery
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