A giant pyogenic granuloma in the nasal cavity caused by nasal packing.
Pyogenic granuloma is a benign, rapidly growing hemorrhagic lesion of unknown origin. This disorder, however, is obscure to many rhinologists, because the nose is a relatively rare location for the lesion. In the practice of otorhinolaryngology, nasal packing is a very common procedure for nasal bleeding and postoperative hemostasis. However, few pyogenic granulomas occurring from nasal packing have been reported in the literature. A 56-year-old man underwent nasal packing with vaseline gauze because of nasal bleeding. Two months later, a dark brown nasal tumor was found in his nasal cavity. He underwent endoscopic endonasal removal of the tumor. The pathology result showed a pyogenic granuloma. This is the third case recorded in the literature of a confirmed pyogenic granuloma occuring as a complication of nasal packing. This uncommon lesion should be considered in the differential diagnosis of a rapidly growing hemorrhagic lesion within the nasal fossa.
Lee
H-M
HM
Department of Otorhinolaryngology-Head and Neck Surgery, Communication Disorder Institute of Medical Research Center, Korea University College of Medicine, Guro Hospital, Seoul, Korea, hmlee91@hotmail.com
Lee
S H
SH
Hwang
S J
SJ
D001458:Bandages / Q000009:adverse effects*; D017789:Granuloma, Pyogenic / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D006489:Hemostatic Techniques / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000473:pathology* / Q000601:surgery; D009669:Nose Neoplasms / Q000209:etiology* / Q000473:pathology* / Q000601:surgery