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Related Experiment Video

Updated: Aug 6, 2025

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
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[Deforming endonasal mass during pregnancy].

A P Maas1, J Eckrich2, T Send2

  • 1Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland. alexander.maas@ukbonn.de.

HNO
|March 22, 2023
PubMed
Summary
This summary is machine-generated.

A pregnant woman experienced recurrent nosebleeds due to a nasal mass. This capillary hemangioma, or granuloma gravidarum, was successfully resected postpartum.

Keywords:
Endonasal tumorEndoscopic sinunasal surgeryEpistaxisGranuloma gravidarumLobular capillary hemangioma

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Area of Science:

  • Otolaryngology
  • Obstetrics
  • Pathology

Background:

  • Epistaxis during pregnancy can be a symptom of various conditions.
  • Nasal masses in pregnant patients require careful evaluation and management.

Observation:

  • A 33-year-old pregnant woman presented with recurrent epistaxis in late pregnancy.
  • A livid endonasal mass was observed, causing nasal displacement and external deformation.
  • Initial biopsy showed no signs of malignancy.

Findings:

  • Postpartum CT revealed a mass destroying the nasal septum.
  • Histopathological examination identified a capillary hemangioma.
  • The mass was classified as granuloma gravidarum due to its association with pregnancy.

Implications:

  • This case highlights granuloma gravidarum as a cause of epistaxis in pregnancy.
  • Endoscopic resection with septal cartilage preservation is a viable treatment.
  • Prompt diagnosis and management are crucial for favorable outcomes.