Rhinolith in the fossa of Rosenmüller – a hidden stone

This is a case report of an 80-year-old woman who presented to the ENT services with multiple non-specific upper aerodigestive tract symptoms. Despite extensive investigation and treatment, her symptoms remained unalleviated with significant impact on the psychological morbidity. During a routine fl...

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Bibliographic Details
Published in:BMJ case reports 2011-01, Vol.2011 (jan03 1), p.bcr0920103352-bcr0920103352
Main Authors: Shilston, J, Foo, S H, Oko, M
Format: Article
Language:English
Subjects:
Aged, 80 and over
Calcification
Calculi - diagnosis
Ear Diseases - diagnosis
Europe (West)
Eustachian Tube
Female
Humans
Medical imaging
Pain
Studies
Unusual Presentation of More Common Disease/Injury
White
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Summary:This is a case report of an 80-year-old woman who presented to the ENT services with multiple non-specific upper aerodigestive tract symptoms. Despite extensive investigation and treatment, her symptoms remained unalleviated with significant impact on the psychological morbidity. During a routine flexible nasoendoscopy for worsening globus pharnygis, a mass was noted in the right Rosenmüller's fossa, where the Eustachian tube leaves the lateral wall of the nasopharynx. A CT scan showed this to be a 10 mm calcified entity within the right Eustachian tube. It was subsequently removed under local anaesthesia providing much relief to the patient. Histology showed this mass to be a rhinolith.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.09.2010.3352