A 30-year-old man with bleeding and locked sensation from left nose for 10 years. He has had a foul-smelling discharge from the left nose for 1 year. Now he has bleeding from both nares for 6 months. There is a history of taking bath in freshwater ponds.

Exam

Left nasal cavity - Reddish, friable mass seen occupying the floor extending through the choana into the nasopharynx. Perforation was seen in the anterior portion of the nasal septum (cartilaginous portion). Mass could be seen extending through the perforation in the right nasal cavity. Complete hemogram - Within normal limits Xray chest - Normal ECG - Normal Blood urea/ sugar - Normal limits

Findings

CT scan paranasal sinuses showed 1. Perforation in the cartilaginous portion of the septum 2. Presence of mass in the nasopharynx can be clearly seen. 3. The walls of the paranasal sinuses were found to be intact.

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Discover a 30-year-old man's 10-year struggle with nasal bleeding and a mass. Explore diagnosis and findings on this medical case.

Nasal Bleeding & Mass: 10-Year Case Study

Nasal bleeding with foul discharge

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Nasal bleeding with foul ...