鼻石症：一种罕见的鼻分泌物病因——病例报告
Rhinolithiasis, an unusual cause of nasal discharge: A case report.
作者信息
Ben Ammar Chaima, Tbini Makram, Kamel Houssem Eddine, Idriss Sarra, Ben Salah Mamia
机构信息
ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.
ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.
出版信息
Int J Surg Case Rep. 2025 Mar;128:111033. doi: 10.1016/j.ijscr.2025.111033. Epub 2025 Feb 7.
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.
引言
鼻石症是一种罕见疾病，因其长期无症状的特性常被漏诊。
病例报告
我们报告一例18岁女性病例，其有长达一年的右侧鼻塞和流涕病史。体格检查发现右侧鼻腔有一肿物。鼻窦CT扫描确诊为鼻石症。在全身麻醉下通过内镜成功切除肿物，发现其围绕一颗人造珍珠矿化。患者次日出院，随访未观察到并发症。
临床讨论
鼻石症易于诊断和治疗。诊断基于临床检查和CT扫描。治疗通过内镜取出鼻石。
结论
我们的病例说明了一种罕见的流涕病因，并强调了早期发现和及时切除的重要性。
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