CASE REPORT: Unusual presentation of nasal polyp

Dr.Deeganta Mohanty; Dr.S Jaya Sandeep; Dr. Vallur Sujithareddy; Dr. Neelima Katta

Volume : IX, Issue : III, March - 2019

CASE REPORT: Unusual presentation of nasal polyp

Dr. Deeganta Mohanty, Dr. S Jaya Sandeep, Dr. Vallur Sujithareddy, Dr. Neelima Katta

Abstract :

Nasal polyp is a pedunculated, soft, elongated structure attached to the nasal mucosa by a slim stalk or a oad base. A twenty two year old male with chief complaints of left nasal obstruction for three years with associated, decreased sense of smell. History of nasal discharge not foul smelling and not blood tinged. History of surgery to nose for similar complaint twice previously. On examination; Septum in midline. Irregular reddish mass occupying most of the nasal cavity, insensitive to touch & bleeds on touch. Thick mucopurulent discharge seen around the mass. Posterior Rhinoscopy shows mass in the choanal with thick discharge in the nasopharynx. Left Maxillary and ethmoid paranasal sinus tenderness elicited. DNE: Reddish granulomatous mass arising from lateral wall of nose mostly arising from inferior turbinate, floor is free. Discharge from the middle meatus. CT Scan of PNS shows large lobulated iso to hypodensity mass lesion seen occupying entire left nasal cavity and left maxillary sinus. Impression given was Sinonasal mass. Procedure done was Endoscopic excision of nasal mass and middle meatal antrostomy. Histopathological examination revealed Chronic Inflammatory polyp.