A 29-YEAR-OLD primigravida presented in her third trimester of pregnancy (30 weeks) with a 2-week history of recurrent epistaxis. On initial presentation, there was no visible intranasal lesion. She presented again 2 weeks later with an additional complaint of bilateral nasal obstruction and right hemifacial pain. There was no history of trauma or any other relevant medical history. On examination, she had a right-sided nasal mass that grew out of her nostril and, because of its expansile effect on the nasal septum, caused bilateral nasal blockage. The lesion was smooth, reddish, and polypoidal and bled easily on touch (Figure 1). The patient underwent en bloc excision of the lesion by avulsion at its vascular pedicle on the nasal septum and cautery to the base (Figure 2). Histopathologic specimens were obtained (Figure 3 and Figure 4). Follow-up examinations during the rest of the patient's pregnancy did not reveal any sign of recurrence.
Krishna I, Balakrishnan K, Kumar BN. Quiz Case 4. Arch Otolaryngol Head Neck Surg. 2000;126(9):1156. doi: