Rhinolith in the fossa of Rosenmuller--a hidden stone.
This is a case report of an 80-year-old woman who presented to the ENT services with multiple non-specific upper aerodigestive tract symptoms. Despite extensive investigation and treatment, her symptoms remained unalleviated with significant impact on the psychological morbidity. During a routine flexible nasoendoscopy for worsening globus pharnygis, a mass was noted in the right Rosenmüller's fossa, where the Eustachian tube leaves the lateral wall of the nasopharynx. A CT scan showed this to be a 10 mm calcified entity within the right Eustachian tube. It was subsequently removed under local anaesthesia providing much relief to the patient. Histology showed this mass to be a rhinolith.
Pilgrim Hospital, Boston (East Midlands Strategic Health Authority), Polegate, UK. j.shilston@nhs.net
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D000369:Aged, 80 and over; D002137:Calculi / Q000175:diagnosis*; D004427:Ear Diseases / Q000175:diagnosis*; D005064:Eustachian Tube; D005260:Female; D006801:Humans