A 31-year-old North African man presented with a 4-month history of headache. He reported several attacks of massive epistaxis, which had stopped spontaneously. His medical history was unremarkable, and he had no history of trauma. Fiberoptic examination showed an asymmetry of the roof of the rhinopharynx. The overlying mucosa was normal. No arterial beating was visualized on fiberoptic examination. There was no palpable cervical node. The findings of the rest of the head and neck examination were normal.