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Unusual presentation of more common disease/injury
A bolt from the blew: rhinolith in the nose for more than 80 years
  1. Mohammad Shebli Kermanshahi1,
  2. Patrick Jassar2
  1. 1Wye Valley NHS Trust, Hereford, UK
  2. 2ENT Department, Hull and East Yorkshire Hospitals, Cottingham, UK
  1. Correspondence to Mohammad Shebli Kermanshahi; dr.moshebli{at} or patrick.jassar{at}


Rhinoliths are calcareous concretions that are formed by the deposition of salts on an intranasal foreign body over a number of years. We describe a rare case of rhinolithiasis, whereby a small foreign body has been lodged in a man's nasal cavity for over 80 years. He presented to the ear, nose and throat clinic with a sore throat and an incidental finding of a rhinolith was made which was confirmed by x-ray. This was managed conservatively.

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