Most of the sinonasal tumours are of epithelial origin. Leiomyomas are very uncommon in the upper respiratory tract and extremely rare in the nasal cavity and paranasal sinuses. They account for less than 2.5% of the mesenchymal neoplasms of the sinonasal tract and the nasopharynx.Here we present a case report of a patient with nasal obstruction and epistaxis for 3 months.the patient underwent polypectomy and was diagnosed to have a nasal leiomyoma.