Angiomatous nasal polyp: Clinical diagnostic dilemma

Angiomatous polyp (Angiectatic nasal polyps) is rare and its incidence is 4-5 % of all nasal polyps. As it occurs with variable clinical features and there is no confirmatory preoperative investigation, clinical diagnosis can be a dilemma. Clinical picture of angiofibroma, simple antrochoanal polyp and inverted papilloma may resemble with each other. As polyps invade surrounding bone, these should be distinguished from a malignant mass. We present an interesting case of an infarcted angiectatic nasal polyp with extensive surrounding bony destruction. Correct preoperative radiological diagnosis is important to avoid unneces-sary extensive surgery. Histopathological evaluation of polyps is mandatory since they require different treatment due to dif-ference in the prognosis