Essadqi Oumaima, Bouchlarhem Saad, Sbai Achraf Amine, Benfadil Drissia, Lachkar Azeddine, Idrissi Fahd El Ayoubi El
Department of otorhinolaryngology, Mohammed VI University Hospital, Medical School, Mohammed 1st University, Oujda, Morocco.
Faculty of Medicine and Pharmacy, Mohammed 1 University, Oujda, Morocco.
Radiol Case Rep. 2025 Jun 13;20(9):4363-4367. doi: 10.1016/j.radcr.2025.05.058. eCollection 2025 Sep.
Capillary lobular hemangioma is a rare, benign vascular pseudotumor that develops mainly in the anterior nasal septum, particularly within Kiesselbach's triangle, and is more common in children than adults. We report the case of a 29-year-old female patient with no significant medical or surgical history who presented with recurrent right-sided epistaxis. Nasal endoscopy revealed a polylobulated, contact-bleeding lesion located on the anterior part of the nasal septum. A CT scan of the paranasal sinuses suggested a capillary lobular hemangioma, which was confirmed by histopathological examination following complete endoscopic endonasal resection. This case highlights the importance of considering capillary lobular hemangioma among the differential diagnoses of unilateral recurrent epistaxis and polylobulated nasal masses, enabling early management through an endoscopic endonasal approach and leading to favorable outcomes.