Rhinolith

Case contributed by Dr Sagar Shetty

Presentation

History of nasal obstruction and purulent nasal discharge.

Patient Data

Age: 40 years
Gender: Male
Modality: CT

A well defined rounded calcified lesion noted between the right inferior meatus and nasal septum. Centrally it contains an ovoid structure with a central air-filled canal. There is deviation of the nasal septum to the left. No evidence of bony destruction. Mucosal thickening also noted in the nasal fossa and right maxillary sinus. This is suggestive of a rhinolith, presumably around a long-standing foreign body. 

Case Discussion

This patient gave a vague history of a foreign body insertion many years ago.

Rhinolith, also known as a nasal calculus,  is a rare cause of nasal obstruction and purulent nasal discharge. It results from complete or partial mineralised encrustation of intranasal foreign bodies as part of a chronic inflammatory response. 

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Case Information

rID: 49708
Case created: 30th Nov 2016
Last edited: 13th Dec 2016
System: Head & Neck
Inclusion in quiz mode: Included

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