2023, Number 1
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Otorrinolaringología 2023; 68 (1)
Rhinolith in a patient with end-stage chronic kidney disease
Estrada-Serrano M, Romero-Gameros CA, Waizel-Haiat S
Language: Spanish
References: 11
Page: 36-39
PDF size: 322.03 Kb.
ABSTRACT
Background: Rhinoliths are calcified masses formed in the nasal cavity by the deposit
of mineral salts. The nest of a rhinolith is usually an exogenous foreign body forgotten
in the nose during childhood (seeds, beads, cotton and insects).
Clinical case: A 32-year-old male patient with chronic kidney disease. We were
consulted as part of the protocol for the patient’s kidney transplant. Upon questioning,
the patient began his current condition 12 years ago with left nasal obstruction, with no
apparent triggering cause, accompanied by anterior and posterior left nasal discharge
with mucopurulent, fetid characteristics, in moderate amount, with exacerbations and
partial remissions to medical treatment with multiple antibiotic regimens at unspecified
doses and durations.
Conclusions: Because it is a rare entity, the diagnosis of a rhinolith must have a
high clinical suspicion, directing the questioning to the patient and accompanying it
with imaging studies; simple computed tomography is the study of choice. Treatment
must be surgical, with complete resection of the foreign body, and resolution of the
complications that it has generated.
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