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VOLUME 7 , ISSUE 2 ( May-August, 2014 ) > List of Articles

CASE REPORT

Two Rhinoliths in a Single Nasal Cavity in an Elderly Patient Mimicking Fungal Sinusitis

Vishal Prasad, Chandrakala Srinivas, Sheetal Krishnappa, Suresh T Narayan Rao, Harshitha T Rajanna

Keywords : Fungal sinusitis,Nasal mass,Rhinolith,Septal perforation

Citation Information : Prasad V, Srinivas C, Krishnappa S, Rao ST, Rajanna HT. Two Rhinoliths in a Single Nasal Cavity in an Elderly Patient Mimicking Fungal Sinusitis. Clin Rhinol An Int J 2014; 7 (2):76-79.

DOI: 10.5005/jp-journals-10013-1201

Published Online: 00-08-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective

To highlight an interesting and a rare case of two rhinoliths in a single nasal cavity of an elderly male patient, mimicking fungal sinusitis or malignancy.

To emphasize that rhinolith has to be considered in the differential diagnosis of unilateral nasal mass even in the elderly.

Case report

A 55-year-old man presented with a right-sided nasal obstruction, foul-smelling nasal discharge and a mass in the right nasal cavity of 6 months duration. Endoscopic examination revealed a gritty, blackish brown mass filling the entire right nasal cavity. A clinical differential diagnosis of malignancy or fungal sinusitis was made. CT scan of paranasal sinus was suggestive of fungal sinusitis following which patient was posted for biopsy. Intraoperatively, patient was found to have two separate masses in the right nasal cavity which were removed. We found a septal perforation adjoining the area where the rhinolith was impacted, with septum pushed laterally and adherent to middle turbinate. However, there were no features suggestive of malignancy. Histopathological examination also ruled out malignancy and confirmed a vegetable foreign body with calcification around an acellular material.

Conclusion

Rhinolith, though rare should be considered in the differential diagnosis of unilateral nasal mass in the elderly.

How to cite this article

Prasad V, Srinivas C, Krishnappa S, Rao STN, Rajanna HT. Two Rhinoliths in a single nasal Cavity in an Elderly Patient Mimicking fungal sinusitis. Clin Rhinol An Int J 2014;7(2):76-79.


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