Massive Angiomatous Nasal Polyp Mimicking Nasopharyngeal Angiofibroma

Angiomatous Nasal polyps is the rarest entity amongst the various types of nasal polyps known. It presents as mass filling the nasal cavity with extensions into surrounding structures; patients often presenting with symptoms of nasal obstruction and epistaxis, thus, mimicking nasal angiofibromas or malignancies. Here, we present a case of 16-year-old male, with complaints of unilateral nasal obstruction, intermittent epistaxis, anosmia, headache, ipsilateral epiphora and facial swelling. Further examination and investigations favoured a diagnosis of an angiomatous polyp with extension into surrounding structures. Surgical excision was carried out. Histopathological studies on the excised specimen were in line with the preoperative diagnosis. The patient remains disease free at a follow of 1 year.