Rhinolithiasis, an unusual cause of nasal discharge: A case report

IF 0.7 Q4 SURGERY International Journal of Surgery Case Reports Pub Date : 2025-02-07 DOI:10.1016/j.ijscr.2025.111033

Chaima Ben Ammar, Makram Tbini, Houssem Eddine Kamel, Sarra Idriss, Mamia Ben Salah

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Abstract

Introduction

Rhinolithiasis is a rare condition often underdiagnosed due to its long asymptomatic nature.

Case presentation

We report the case of an 18-year-old female with a year-long history of right-sided nasal obstruction and nasal discharge. Physical examination identified a mass in the right nasal cavity. A paranasal sinus CT scan confirmed the diagnosis of rhinolithiasis. The mass was successfully removed endoscopically under general anesthesia and was found to be mineralized around a synthetic pearl. The patient was discharged the following day, with no complications observed at follow-up.

Clinical discussion

Rhinolithiasis is easy to diagnose and to treat. Diagnostic is based on clinical examination and CT-scan. Treatment is made by extracting the rhinolithiasis endoscopically.

Conclusion

Our case illustrates a rare cause of nasal discharge and highlights the importance of early detection and prompt removal.

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鼻石症，一种不寻常的鼻溢液原因：1例报告

摘要鼻结石是一种罕见的疾病，因其长期无症状而常被误诊。我们报告一例18岁的女性，有一年的右侧鼻塞和鼻分泌物病史。体格检查发现右鼻腔有肿块。副鼻窦CT扫描证实了鼻结石的诊断。在全身麻醉下，通过内窥镜成功切除了肿块，发现它在一颗合成珍珠周围矿化。患者于次日出院，随访无并发症。鼻结石易诊断，易治疗。诊断基于临床检查和ct扫描。治疗方法是在内窥镜下取出鼻结石。结论本病例是一种罕见的鼻溢物病因，强调了早期发现和及时清除的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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