A Rare Case of Angiomyomatous Nasal Polyp of Angiomyomatous Nasal Polyp - A Case Report

Abstract Introduction and Objective: Angiomatous nasal polyps are distinct variants, constituting only 2%–5% of all sinonasal polyps. The heretofore-reported case of angiomyomatous nasal polyp is a unique entity and is infrequently reported in the literature. Case Report: A 56-year-old male presented with chief complaints of intermittent epistaxis, progressive obstruction of the left nasal cavity, and discharge for 8 months. An endoscopic examination of the nasal cavity was performed, which showed a soft, fleshy polypoid mass in the left lateral wall posterior to the posterior end of the middle meatus with no active bleeding. The clinical findings led to a provisional diagnosis of an antrochoanal polyp, whereas computed tomography gave an impression of an angiomatous polyp, and then the patient was taken up for endoscopically-assisted excision of the nasal mass. The surgery was performed under general anesthesia. Histopathological examination reported it to be an angiomyomatous nasal polyp. The patient’s recovery was uneventful, and follow-up revealed no remission. Conclusion: Angiomyomatous nasal polyps are a unique entity that can be difficult to diagnose with differentials. Endoscopic resection is the treatment of choice, and local recurrence is unlikely.