Pyogenic granuloma of the nasal cavity: An unusual complication of pregnancy
Journal
Taiwanese Journal of Obstetrics and Gynecology
Journal Volume
44
Journal Issue
1
Pages
101-104
Date Issued
2005
Author(s)
Abstract
Objective: Nasal tumor in pregnancy is exceedingly rare. We presenta case of pyogenicgranuloma that manifested as a nasal mass and epistaxis in pregnancy and which was successfully treated after delivery. Case Report: A 30-year-old woman, gravida 1, para 0, was referred to our hospital due to progressive nasal obstruction and intermittent epistaxis at 37 weeks of gestation. A brownish mass occupying the right nasal vestibule was found at our clinic. Magnetic resonance imaging showed a well-defined, soft-tissue mass within the ethmoid sinus involving the right nasal turbinate. Pre-contrast T1-weighted images revealed one isointense mass crossing over the midline and post-contrast T1-weighted images revealed heterogeneous enhancement. The patient underwent endoscopic excision 2 weeks postpartum and histopathology revealed pyogenic granuloma. The postoperative course was uneventful and there was no evidence of recurrence during 3 months' follow-up. Conclusion: Due to its rarity, pyogenic granuloma may be overlooked or misdiagnosed in pregnant women and cause undue anxiety. An awareness of pyogenic granuloma in the differential diagnosis of an enlarging intranasal mass in a pregnant woman is important. The management should be individualized, with the focus on presenting gestational age and the progression of symptoms.
SDGs
Other Subjects
adult; anxiety disorder; article; case report; clinical feature; diagnostic error; differential diagnosis; epistaxis; ethmoid sinus; female; follow up; gestational age; histopathology; human; human tissue; image analysis; image enhancement; nose cavity tumor; nuclear magnetic resonance imaging; pregnancy complication; pyogenic granuloma; recurrent disease
Publisher
Elsevier (Singapore) Pte Ltd
Type
journal article