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Case Reports
. 2018 Sep 18:2018:7413918.
doi: 10.1155/2018/7413918. eCollection 2018.

Intranasal Lobular Capillary Hemangioma with Multiple Sites of Origin during Pregnancy: A Case Report and Literature Review

Lama S Alalula  1 , Abdullah S Arafat  2 , Riyadh A Alhedaithy  2 , Mohammed Elkrim  2
Affiliations
Case Reports

Intranasal Lobular Capillary Hemangioma with Multiple Sites of Origin during Pregnancy: A Case Report and Literature Review

Lama S Alalula et al. Case Rep Otolaryngol. .

Abstract

In the present case report, we describe a 33-year-old pregnant woman in the third trimester with a history of recurrent epistaxis leading to frequent visits to the emergency department. Each episode of epistaxis was managed by anterior nasal packing. During endoscopic examination, a left nasal mass was seen. She was admitted and managed conservatively until she delivered her baby without complication. After delivery, a CT scan was taken, which showed an enhancing mass in the middle and lower meatus of the nasal cavity with no bony erosions. For symptomatic relief and tissue diagnosis, endoscopic surgical removal was advised. An intraoperative examination revealed a red, smooth, and well-circumscribed mass occupying the left nasal cavity and originating from the medial surface of the inferior turbinate and the inferior surface of the posterior part of the middle turbinate. A complete en bloc resection of the mass was performed endoscopically. The mass was sent for histologic analysis, which confirmed the diagnosis of lobular capillary hemangioma. Eventually, upon follow-up at two weeks, one month, three months, and six months postsurgery, no evidence of recurrence was detected.

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Figures

Figure 1
Figure 1
Axial and coronal sinus CT scans with contrast showing a heterogeneously enhanced mass involving the middle and lower meatus of the left nasal cavity with normal adjacent bony structures. In its maximum dimensions, the mass measured 3.2 × 2.2 × 1.5 cm.
Figure 2
Figure 2
A preoperative endoscopic examination revealed a mass occupying the left nasal cavity.
Figure 3
Figure 3
An intraoperative endoscopic examination after complete excision of a left nasal cavity mass revealed two sites of origin in the lateral nasal wall: the medial surface of the inferior turbinate and the inferior surface of the posterior part of the middle turbinate.
Figure 4
Figure 4
Gross appearance of the mass after excision, which had a smooth and glistening surface.
Figure 5
Figure 5
Microscopic examination of the tumor revealed lobulated and dilated capillaries with edematous stroma, confirming the diagnosis of lobular capillary hemangioma.
Figure 6
Figure 6
A 3-month postoperative examination via endoscopy indicating good mucosal healing at the site of procedure with no evidence of recurrence.
See this image and copyright information in PMC

References

    1. Ragab A., Rabiea S., Alchammaa T., Ghobashy M. Lobular capillary hemangioma of the lateral nasal wall. Anveshana Ayurveda Medical Journal. 2015;13(4)
    1. Kamath P., Shenoy V., Mukundan A. Lobular capillary hemangioma of the nasal septum—a case report. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2014;15(3):255–257. doi: 10.1016/j.ejenta.2014.07.004. - DOI
    1. Patil P., Singla S., Mane R., Jagdeesh K. Nasal lobular capillary hemangioma. Journal of Clinical Imaging Science. 2013;3(1):p. 40. doi: 10.4103/2156-7514.119134. - DOI - PMC - PubMed
    1. Chi T. H., Yuan C. H., Chien S. T. Lobular capillary hemangioma of the nasal cavity: a retrospective study of 15 cases in Taiwan. Balkan Medical Journal. 2014;33(1):69–71. doi: 10.5152/balkanmedj.2014.13178. - DOI - PMC - PubMed
    1. Jha S. K., Roy D., Pal A., Jha S. Lobular capillary hemangioma of nose: case report and literature review. Otolaryngology Online Journal. 2015;5(1)

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