Nasal hemangioma as a cause of epistaxis: a case report
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20201297Keywords:
Hemangioma, Epistaxis, Nasal obstruction, Endoscopic surgery, Biopsy, Nasal tumorAbstract
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.
References
Akiner MN, Akturk MT, Atmis EO. Intraosseous cavernous haemangioma of inferior turbinate: A rare case report. Case Rep Otolaryngol. 2011;2011:431365.
Kim ST, Kim SH, Gu GY, Cha HE. Three cases of haemangioma in nasal septum. J Rhinol. 2000;7:80-3.
Akyol MU, Yalciner EG, Dogan Al. Pyogenic granuloma (lobular capillary haemangioma) of the tongue. Int J Pediatr Otorhinolaryngol. 2001;58:239-41. Ozcan C, Apa DD, Gorur K. Pediatric lobular capillary haemangioma of the nasal cavity. Eur Arch Otorhinolaryngol 261 (2004): 449-451.
Nedev P. Lobular capillary haemangioma of the nasal cavity in children. Trakia J Sci. 2008;6:63-7.
Genc S, Kurkcuoglu SS, Karabulut H, Acar B, Tuncel U, Degerli S. Giant lobular capillary hemangioma of the nasal septum. Turk J med Sci. 2009;39(2):325-8.
Nedev P. Lobular capillary haemangioma of the nasal cavity in children. Trakia J Sci. 2008;6:63-7.
Archontaki M, Stamou AK, Hajiioannou JK, Kalomenopoulou M, Korkolis DP, Kyrmizakis DE. Cavernous haemangioma of the left nasal cavity. Acta Otorhinolaryngol Ital. 2008;28(6):309-11.
Budiman BJ, Octiza R. Capillary haemangioma of nasal septum.
Nair CS, Bahal MA, Bhadauria RS. Lobular capillary hemangioma of nasal cavity. MJAFI. 2008; 64:270-71.
Fasunla AJ, Adebola OS, Okolo CA, Adeosun AA. Nasal septal lobular capillary haemangioma in West Africa subregion: a case report. Cases J. 2009;2:8952.
Lee DG, Lee SK, Chang HW, Kim JY, Lee HJ, Lee SM, et al. CT features of lobular capillary hemangioma of the nasal cavity. AJNR Am J Neuroradiol. 2010;31(4):749-54.
Puxeddu R, Berlucchi M, Ledda GP, Parodo G, Farina D, Nicolai P. Lobular capillary hemangioma of the nasal cavity: A retrospective study on 40 patients. Am J Rhinol. 2006;20(4):480-4.
Simo R, de Carpentier J, Rejali D, Gunawardena WJ. Pediatric pyogenic granuloma presenting as a unilateral nasal polyp. Rhinology. 1998;36:136-8.
McCarthy JO, Borud LJ, Schreiber JS. Hemangiomas of the nasal tip. Plast Reconstr Surg 2002;109:31-40.
Ash lE, Old Jw. Hemangiomas of the nasal septum. Trans Am Acad Ophthalmol Otolaryngol. 1950;54:350-6.
Dettelbach MA, WeissmanJL, Singh J, Eibling DE. "Bleeding polyp" of the osseous nasal septum: a rarely seen lesion. Am J OtolaryngoI. 1995;16:341-6.
Bertrand B, Eloy P, Marbaix E, Fievez C, Daele J. Hemangiome caverneux de la tache de Little. Acta Otorhinolaryngol Belg. 1986;4:600-5.
Sheppard LM, Mickelson SA. Hemangiomas of the nasal septum and paranasal sinuses. Henry Ford Hosp Med J. 1990;38:25-7.
Levey M. Hemangioma of the nasal septum. Int Surg. 1976;61:344-7.
