Bleeding polyp of the nasal septum: A rare lesion in adults

Abstract

Capillary lobular hemangioma is a rare, benign vascular pseudotumor that develops mainly in the anterior nasal septum, particularly within Kiesselbach’s triangle, and is more common in children than adults. We report the case of a 29-year-old female patient with no significant medical or surgical history who presented with recurrent right-sided epistaxis. Nasal endoscopy revealed a polylobulated, contact-bleeding lesion located on the anterior part of the nasal septum. A CT scan of the paranasal sinuses suggested a capillary lobular hemangioma, which was confirmed by histopathological examination following complete endoscopic endonasal resection. This case highlights the importance of considering capillary lobular hemangioma among the differential diagnoses of unilateral recurrent epistaxis and polylobulated nasal masses, enabling early management through an endoscopic endonasal approach and leading to favorable outcomes.