article · International Journal of Surgery Case Reports
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.
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DOI: 10.1016/j.ijscr.2025.111033
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