J Rhinol.  2022 Nov;29(3):182-184. 10.18787/jr.2022.00425.

Perimenstrual Epistaxis Caused by Nasal Septal Endometriosis: Very Rare Case Report

• Aliyeva A
• Safarova V

• KMID: 2536589
• DOI: http://doi.org/10.18787/jr.2022.00425

Abstract

We present a case of localized nasal endometriosis to contribute to the literature. A primiparous, primigravida, 37-year-old female was diagnosed with nasal septal endometriosis in the presence of history of periodic epistaxis, nasal pain, and nasal fullness. After a nasal biopsy for exclusion of malignancy, a comprehensive general screening was performed on the recommendation of a gynecologist, definitive endometriosis was diagnosed, and oral treatment was initiated. Significant relief was reported in her nasal symptoms during the 1-year follow-up period. We report this case to demonstrate the importance of clinical awareness of periodic cyclic perimenstrual epistaxis, nasal lesions, and nasal pain as a cause of nasal septal endometriosis.

Keyword

Extrapelvic endometriosis; Epistaxis; Nasal lesion

Figure

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  Fig. 1. A: Left nostril endoscopic view. B: Left nostril anterior rinoscopy. C: Facial MR views: Coronal profile. D: Facial MR views: Axial profile. Nasal mucosal lesions shown with white dots and arrows.

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  Fig. 2. A: Macroscopic view of biopsy material from nasal mucosa (1×1 cm). B: Histopatologic view of endometrial byopsi (Haematoxylin and eosin staining).

Reference

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