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

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.

Nasal lobular capillary hemangioma: Report of a case managed by endoscopic excision and pre-operative angio-embolization

“…Reported common nasal locations of LCH include the nasal septum, vestibule, inferior turbinate, middle turbinate and uncinate process [10] . Nasal LCH with multiple sites of origin has been also reported [12] . Differential diagnoses include granulomatous disease, angiofibroma, hemangiopericytoma, inverting papilloma, or malignant sinonasal neoplasms [13] .…”

Pyogenic Granuloma Gravidarum of the Nasal Cavity Causing Recurrent Epistaxis. A Case Report and Review of the Literature

“…When pyogenic granuloma occurs in pregnant women, it is called pyogenic granuloma gravidarum and is clinically and histologically identical. It affects 5% of pregnant patients and is most common during the last two trimesters (13)(14)(15). Most of these lesions are small and they usually regress spontaneously postpartum.…”

Lobular capillary hemangioma of the nasal cavity treated by radiofrequency excision: a retrospective study

“…3 Various investigations including diagnostic nasal endoscopy, imaging like computed tomography (CT) scans and magnetic resonance imaging have been used to differentiate it from inflammatory and other neoplastic lesions. 4 Inspite of various treatment options, surgical excision is the mainstay of treatment. and classical excision using radiofrequency and their outcomes.…”