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Objective: Nasal tumor in pregnancy is exceedingly rare. We present a case of pyogenic granuloma that manifested as a nasal mass and epistaxis in pregnancy and which was successfully treated after delivery. Case Report: A 30-year-old woman, gravida 1, para 0, was referred to our hospital due to progressive nasal obstruction and intermittent epistaxis at 37 weeks of gestation. A brownish mass occupying the right nasal vestibule was found at our clinic. Magnetic resonance imaging showed a well-defined, soft-tissue mass within the ethmoid sinus involving the right nasal turbinate. Pre-contrast T1-weighted images revealed one isointense mass crossing over the midline and post-contrast T1-weighted images revealed heterogeneous enhancement. The patient underwent endoscopic excision 2 weeks postpartum and histopathology revealed pyogenic granuloma. The postoperative course was uneventful and there was no evidence of recurrence during 3 months' follow-up. Conclusion: Due to its rarity, pyogenic granuloma may be overlooked or misdiagnosed in pregnant women and cause undue anxiety. An awareness of pyogenic granuloma in the differential diagnosis of an enlarging intranasal mass in a pregnant woman is important. The management should be individualized, with the focus on presenting gestational age and the progression of symptoms.