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Rhinolithiasis, an unusual cause of nasal discharge: A case report
Chaima Ben Ammar1, Makram Tbini1, Houssem Eddine Kamel1
1ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.
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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