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Leiomyoma is a benign myogenic tumor which can occur wherever smooth muscle is present. It is common in the female genital tract, skin, gastrointestinal tract, but rare in the nasal cavity or paranasal sinus. Angioleiomyoma is a histologic subtype of leiomyoma, which contains capillary, cavernous or venous vascular spaces, with the smooth muscle cells being associated with the vessel walls . We present an unusual case of an angioleiomyoma arising from nasal septum, which was incidentally detected during routine nasal examination.