BACKGROUNDEpistaxis is one of the most common emergencies in any ENT Department, which needs utmost attention and early intervention. If proper assessment on arrival of the patient is not done, a significant morbidity and mortality can occur.

Sphenochoanal polyp is a rare entity which originates from the sphenoid sinus and passes via the sphenoid ostium to the choana and presents like the more frequently occurring antrochoanal polyp. The authors reported the case of a 22-year-old woman who was diagnosed with a left sphenochoanal polyp that is a relatively uncommon entity. If unrecognized they can be mistaken for an antrochoanal polyp for which longer the delay in treatment more are the chances of complications. Pre-operative investigations included axial and coronal computed tomography. The sphenochoanal polyp was effectively treated using an endoscopic sinus surgery. Here the case is presented along with a review of the literature. To the horizon of our knowledge, no previous case of sphenochoanal polyp was reported from Eastern India. In conclusion we have to introduce patient education for the early detection of polyps and their interventions.