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Case Report

Giant angiomatous choanal polyp originating from the middle turbinate: a case report

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https://doi.org/10.2399/jmu.2017001007
Perić, A., Jovanovski, A., & Vukomanović Durdević, B. (2017). Giant angiomatous choanal polyp originating from the middle turbinate: a case report. ENT Updates, 7(1). https://doi.org/10.2399/jmu.2017001007
Volume 7 Issue 1 (2017)
Copyright (c) 2017 Aleksandar Perić, Aleksandar Jovanovski, Biserka Vukomanović Durdević
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Aleksandar Perić
    Department of Otorhinolaryngology, Faculty of Medicine, Military Medical Academy, Belgrade, Serbia
  • Aleksandar Jovanovski Institute for Radiology, Faculty of Medicine, Military Medical Academy, Belgrade, Serbia
  • Biserka Vukomanović Durdević Institute for Pathology, Faculty of Medicine, Military Medical Academy, Belgrade, Serbia

Choanal polyps (CPs) can be defined as histologically benign, solitary, soft tissue lesions extending towards the junction between the nasal cavity and the nasopharynx through the choana. They usually originate from the maxillary sinus. In this report, we present an unusual case of a giant angiomatous CP arising from the inferior part of the middle turbinate that completely filled the nasopharynx. A 24-year-old man presented with five-year history of left-sided nasal obstruction, nasal discharge and mildto-moderate epistaxis. The diagnosis was supported by contrastenhanced computed tomography scan of the paranasal sinuses with angiography and confirmed by histopathological examination. The lesion was removed by combined endoscopic and transoral approach. In addition, we discuss the pathogenesis, clinical, radiological and pathological characteristics of angiomatous CPs, and their differential diagnosis.

Keywords:

Epistaxis nasal polyps nasal surgical procedures turbinates