A Rare Case of Bleeding Polypus of Nasal Septum During Pregnancy

Abstract

Background: Inflammatory haemangioma of the nasal septum, known as “pyogenic granuloma” or “bleeding polyp,” is an uncommon lesion in adults. Pyogenic granuloma is a polypoid capillary haemangioma, sometimes called lobular capillary haemangioma, which is seen on skin and mucosal surfaces. These lesions occur in the gingiva, most commonly the fingers, nasal cavities, face, lips and tongue. Sixty percent of nasal lesions arise on the septum and can appear with epistaxis. The aim of this study is to report an interesting case of a lobular capillary hemangioma of the nasal septum, including its surgical treatment, clinical appearance and diagnostic access.

Case Report: A 36-year-old woman with two months of amenorrhoea presented with a short history of unilateral nasal obstruction, epistaxis, and nasal discharge. A thorough medical history, clinical and endoscopic examination were obtained. The mass was completely excised without any difficulty under LA and cauterisation of the base done with TCA. The patient remained free of symptoms at a six-month follow-up.

Conclusions: This uncommon lesion should be considered in the differential diagnosis of a rapidly growing haemorrhagic lesion within the nasal cavity. In lobules, pyogenic granuloma consists of circumscribed aggregates of capillaries arranged. Clinical and histological diagnostic pitfalls occur frequently. Surgical excision is the treatment of choice; incomplete resection can lead to recurrence.