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Bleeding septal polyp, a rarity becoming common – A report of four cases
Ahmad Rufai Tukur1, Ahmad M Aldhafeeri1, Faisal Hazaa Abohelaibah1, Rania G Roshdy2, Yousif Ali Aldhafeeri3, Fahad Salih Aldhafeeri4, Madallah Mutlaq Alanazi4
1 Department of Otolaryngology, Hafr Albaten Central Hospital, Hafr Al-Batin, Kingdom of Saudi Arabia
2 Department of Pathology, Faculty of Medicine, Banha University, Banha, Egypt; Department of Pathology, Hafr Albaten Central Hospital, Hafr Al-Batin, Kingdom of Saudi Arabia
3 Department of General Medicine, Hafr Albaten Central Hospital, Hafr Al-Batin, Kingdom of Saudi Arabia
4 Department of General Surgery, Hafr Albaten Central Hospital, Hafr Al-Batin, Kingdom of Saudi Arabia
Correspondence Address:
Ahmad M Aldhafeeri,
Department of Otolaryngology, Hafr Albaten Central Hospital, Hafr Al-Batin
Kingdom of Saudi Arabia
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/sjoh.sjoh_50_22
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Bleeding septal polyp is a benign, previously assumed very rare lesion that usually presents as unilateral epistaxis, nasal blockage, and intranasal mass. It can occur spontaneously or posttraumatic. We report four cases of three young adult females and one pediatric male. All of them presented with recurrent, spontaneous, torrential, unilateral epistaxis with progressive unilateral nasal blockage of varied durations. Anterior rhinoscopy was done in all cases, and it revealed a polypoidal mass in the cartilaginous septum and ulcerated mucosa in some cases that easily bleeds on contact. A clinical diagnosis of a bleeding septal polyp was made. Patients were evaluated and underwent excisional biopsy using the transnasal endoscopic resection technique. Histology revealed hemangiomatous lesions for the females and angiofibroma for the male. They were followed up for 6 months, with complete healing of the excision site and without any complaint. Bleeding septal polyp is becoming a common cause of spontaneous, recurrent unilateral epistaxis. This case report is an addition to the literature to increase awareness in clinical practice.
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