Work

Bleeding polyp of the nasal septum: A rare lesion in adults

Year: 2025

Type: article

Abstract: Capillary lobular hemangioma is a rare, benign vascular pseudotumor that develops mainly in the anterior nasal septum, particularly within Kiesselbach's triangle, and is more common in children than adults. We report the case of a 29-year-old female patient with no significant medical or surgical history who presented with recurrent right-sided epistaxis. Nasal endoscopy revealed a polylobulated, contact-bleeding lesion located on the anterior part of the nasal septum. A CT scan of the paranasal sinuses suggested a capillary lobular hemangioma, which was confirmed by histopathological examination following complete endoscopic endonasal resection. This case highlights the importance of considering capillary lobular hemangioma among the differential diagnoses of unilateral recurrent epistaxis and polylobulated nasal masses, enabling early management through an endoscopic endonasal approach and leading to favorable outcomes.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2025.05.058

Authors: Oumaima Essadqi, Saad Bouchlarhem, Achraf Amine Sbai, Drissia Benfadil, Azeddine Lachkar, Fahd El Ayoubi El Idrissi

Institutions: Mohamed I University, Centre Hospitalo-Universitaire Mohammed VI d'Oujda

Language: English

Topic: Vascular Malformations and Hemangiomas

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600