A Rare Case Report of Impacted Metallic Rhinolith

Authors

  • Abhay Kumar Singh, Pal Satyajit Singh Athwal Harsimrat Singh, Aditya Ghosh Roy, V.P. Venketachalam

DOI:

https://doi.org/10.37506/ijocs.v7i1.295

Keywords:

Rhinolith, rhinolithiasis, Metallic rhinoliths, Zinc oxide.

Abstract

Introduction

Rhinolithiasis is an uncommon condition. It is usually confused with both benign and malignant nasal tumors. They have various clinical presentations.

Case Presentation

We report a rare case of rhinolith due to inhalation of industrial fumes. The patient presented to the OPD of Saraswathi institute of medical sciences, hospital with history of nasal obstruction, yellowish nasal discharge, frequent headache and epistaxis of 3 months duration. The patient was an industrial worker by profession and gave history of inhalation of industrial fumes (zinc oxide). After taking a thorough history of the patient local examination including anterior rhinoscopy and nasal endoscopy was carried out. Nasal endoscopy revealed a greyish irregular densely impacted solid mass. Computed tomography (CT) scan of nose and paranasal sinuses showed a radiopaque mass in right and left side of nasal cavity. Rhinolith was removed endoscopically under general anaesthesia, leading to the complete resolution of his symptoms.

Discussion

Diagnosis of rhinolithiasis can be made by keeping a strong suspicion based upon history and symptoms. The current case report shows the importance of rigid nasal endoscopy and radiological assessment in diagnosis and management of rhinolith.

Author Biography

  • Abhay Kumar Singh, Pal Satyajit Singh Athwal Harsimrat Singh, Aditya Ghosh Roy, V.P. Venketachalam

    Singh Abhay Kumar1,*, Athwal Pal Satyajit Singh2, Singh Harsimrat3, Roy Aditya Ghosh4, Venketachalam V.P.5

    1Assistant Professor, Department of E.N.T, Saraswathi Institute of Medical Sciences, Hapur, U.P, India

    2Junior Resident, Department of Medicine, G.S Medical College and Hospital, Hapur, U.P, India

    3Post Graduate 3rd, Department of E.N.T, Saraswathi Institute of Medical Sciences, Hapur, U.P, India

    4Senior Resident, Department of E.N.T, Saraswathi Institute of Medical Sciences, Hapur, U.P, India

    5Professor and H.O.D, Department of E.N.T, Saraswathi Institute of Medical Sciences, Hapur, U.P, India

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Published

2019-02-04