What’s in a Nose? A Case Report on Chronic Unilateral Rhinorrhea

Abstract

Introduction and Importance: Nasal foreign bodies often present acutely following insertion but may be missed by both family and health care providers, remaining in place for weeks, months, or even years after the initial event. Case Presentation: We present the case of a 16-year-old female who presented in-office complaining of intermittent unilateral foul-smelling rhinorrhea. The diagnosis was confirmed by intranasal examination with a speculum, as well as a computed tomography scan. She underwent surgery, removing an eraser top for a pencil with subsequent resolution of symptoms. Discussion: The diagnosis is based on the clinical history, physical examination and is supported by CT and exploratory surgery, this last one being also therapeutic. Conclusion: This case of chronic unilateral rhinorrhea due to a foreign body reinforces the importance of clinical examination as well as full evaluation of the differential diagnosis of both acute and chronic rhinorrhea particularly in small and older children.