Almutairi Dakheelallah, Alosaimi Ashwaq, Alsurayhi Atheer, Altalhi Atheer
Otolaryngology - Head and Neck Surgery, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Otolaryngology - Head and Neck Surgery, King Abdullah International Medical Research Center, Jeddah, SAU.
Cureus. 2022 Feb 23;14(2):e22538. doi: 10.7759/cureus.22538. eCollection 2022 Feb.
Concha bullosa (CB) is a common sinonasal anatomic variant. The obstruction of a CB, though rare, might result in mucocele that may be misdiagnosed. In this report, we present a case of a 32-year-old female with a one-year history of unilateral nasal obstruction, headache, facial pain, foul nasal discharge, and hyposmia, initially misdiagnosed as a neoplasm. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a right middle CB infection with a mucocele. Laboratory cultures yielded . Endoscopic sinus surgical mass excision was performed, and treatment with oral cefuroxime was administered. The patient recovered fully. A CB mucocele, though rare, should be considered in the differential diagnosis of an intranasal mass.
泡状鼻甲（CB）是一种常见的鼻窦解剖变异。虽然CB阻塞很少见，但可能导致黏液囊肿，这可能会被误诊。在本报告中，我们介绍了一例32岁女性病例，该患者有一年的单侧鼻塞、头痛、面部疼痛、脓性鼻分泌物和嗅觉减退病史，最初被误诊为肿瘤。计算机断层扫描（CT）和磁共振成像（MRI）显示右侧中鼻甲泡状感染并伴有黏液囊肿。实验室培养结果为……进行了鼻内镜鼻窦手术肿物切除，并给予口服头孢呋辛治疗。患者完全康复。尽管CB黏液囊肿很少见，但在鼻腔肿物的鉴别诊断中应予以考虑。
