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Background <p>Hemangiomas are benign tumours arising from the body’s vascular structures. Although they are quite common in the head and neck region, they are sporadic in the nose and paranasal sinuses, with only a handful of cases in the literature. Three major subtypes are described: capillary, cavernous, and mixed. Herein, we report a rare occurrence of nasal hemangioma in a male infant and illustrate the diagnostic and therapeutic workup.</p> Case Presentation <p>A one-and-a-half-year-old male child presented to us with complaints of left-sided nasal blockage, swelling and infrequent episodes of nasal bleeds since birth. On anterior rhinoscopy, a soft, purplish, compressible swelling was seen occupying the left nasal cavity, which was found attached to the vestibule on probing. Contrast-enhanced computed tomography of the nose and paranasal sinuses demonstrated a 16&#xa0;mm x 6&#xa0;mm soft tissue in the left anterior nasal cavity abutting the lateral nasal wall with significant post-contrast enhancement. The patient then underwent trans-nasal endoscopic excision. Histopathological examination revealed large blood-filled spaces with flattened epithelium, strongly suggestive of cavernous hemangioma. No relapse occurred in the 1-year follow-up.</p> Discussion <p>Hemangiomas in the nasal cavity, particularly cavernous hemangiomas, are relatively rare. The lack of established guidelines represents challenges in diagnosis and management. Surgical excision is still the treatment of choice with a debatable role of pre-operative embolisation.</p>

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Cavernous Hemangioma of the Left Nasal Cavity: A Rare Case Report and Review of Literature

  • 期刊论文

  • 发表日期：

    2025年7月19日

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  • Sadaf Saleem,
  • Aanchal Rana

摘要

Background

Hemangiomas are benign tumours arising from the body’s vascular structures. Although they are quite common in the head and neck region, they are sporadic in the nose and paranasal sinuses, with only a handful of cases in the literature. Three major subtypes are described: capillary, cavernous, and mixed. Herein, we report a rare occurrence of nasal hemangioma in a male infant and illustrate the diagnostic and therapeutic workup.

Case Presentation

A one-and-a-half-year-old male child presented to us with complaints of left-sided nasal blockage, swelling and infrequent episodes of nasal bleeds since birth. On anterior rhinoscopy, a soft, purplish, compressible swelling was seen occupying the left nasal cavity, which was found attached to the vestibule on probing. Contrast-enhanced computed tomography of the nose and paranasal sinuses demonstrated a 16 mm x 6 mm soft tissue in the left anterior nasal cavity abutting the lateral nasal wall with significant post-contrast enhancement. The patient then underwent trans-nasal endoscopic excision. Histopathological examination revealed large blood-filled spaces with flattened epithelium, strongly suggestive of cavernous hemangioma. No relapse occurred in the 1-year follow-up.

Discussion

Hemangiomas in the nasal cavity, particularly cavernous hemangiomas, are relatively rare. The lack of established guidelines represents challenges in diagnosis and management. Surgical excision is still the treatment of choice with a debatable role of pre-operative embolisation.