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Clinical Problem Solving
January 2014

Recurrent Epistaxis and Nasal Congestion

Author Affiliations
  • 1Thomas Jefferson University, Philadelphia, Pennsylvania
  • 2New York Eye and Ear Infirmary, New York
JAMA Otolaryngol Head Neck Surg. 2014;140(1):73-74. doi:10.1001/jamaoto.2013.4532

A male teenager presented with a 2-month history of recurrent epistaxis and nasal congestion. Nasal endoscopy demonstrated a 2-cm friable mass in the left nasal cavity. A computed tomographic scan revealed a 2.3-cm soft-tissue density in the left nasal cavity (Figure, A) and a magnetic resonance imaging scan confirmed by this delineating a heterogeneously enhancing mass, without clear attachments to the nasal septum (Figure, B). Findings from a positron emission tomographic scan were negative.

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