Nasal Granuloma Gravidarum Presenting with Recurrent Massive Epistaxis

WEERACHAI TANTINIKORN, MD*, MONGKOL UIPRASERTKUL, MD**, PARA YA ASSANASEN, MD*

Affiliation : * Department of Otolaryngology, •• Department of Pathology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

AbstractNasal granuloma gravidarum is a rare condition associated with pregnancy and minor trauma. This condition presents with a nasal mass with varying degree of bleeding and obstruction. We report a patient with nasal granuloma gravidarum in the third trimester of pregnancy. Surgical excision is the definite treatment for this condition in order to stop the vicious cycle of recurrent massive bleeding. Possible etiology, clinical features and management are discussed.

Keywords : Epistaxis, Pregnancy, Granuloma Gravidarum

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