Pyogenic Granuloma in the Sinonasal Cavity: A Potential 38-Year Latency Following Foreign Body Entrapment.
Matin Ghazizadeh, Sina Hooshmandnia, Mohammadsoheil Hemmat Esfeh et al.
✦ AI-curated · Sources linked
Case in brief
A 43-year-old male presented with left-sided nasal obstruction, rhinorrhea, and hyposmia for two months. Endoscopic evaluation and imaging revealed a highly vascular mass on the left middle turbinate. The patient had a history of foreign body entrapment in the nasal cavity at age 5, suggesting a potential link to the lesion's development after 38 years. The mass was excised successfully, and the patient remained asymptomatic at one-year follow-up.
What made this case unusual
The case presents a rare occurrence of pyogenic granuloma in the sinonasal cavity of a male, potentially linked to a foreign body trauma from childhood, highlighting a long latency period.
Diagnostic / clinical pearl
Clinicians should consider the possibility of delayed presentations of sinonasal pyogenic granuloma in patients with a history of nasal trauma, even decades later.
Why it matters
Understanding the potential long-term effects of nasal trauma on the development of vascular lesions can aid in the diagnosis and management of similar cases.