Nasal hemangioma as a cause of epistaxis: a case report

Abstract

<p class="abstract">Hemangioma is a benign, rapidly growing solitary lesion that usually occurs in the skin and mucous membrane. The exact etiology of such a lesion is unknown, but thought to be due to trauma and hormonal factors. Sinonasal hemangiomas are rare. Bleeding and nasal obstruction with mass sometimes filling the nasal cavity are the usual clinical presentation of such a lesion. We report a case of 42-year-old female with right nasal hemangioma presented with on and off epistaxis and progressive right-sided nasal obstruction. Examination of nasal cavity physically combined with endoscopy revealed a polypoid, reddish colored mass in the nasal cavity on the right side arising from septum. Endoscopic subperichondrfial excision was done under local anaesthesia. The histopathology showed vascular proliferative lesion, consistent with hemangioma. Endoscopic excision is preferred as it helps in better visualization. Subperichondrial excision helps to reduce bleeding also, prevent the recurrence. Although rare, the diagnosis of hemangioma must always be kept in mind while discussing the differential diagnosis of a bleeding mass in the nasal cavity.</p>