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鼻中隔子宫内膜异位症引起的经前期鼻出血:罕见病例报告。

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

作者信息

Aliyeva Aynur, Safarova Vafa

机构信息

Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea.

Neuroscience Doctoral Program, Yeditepe University, Istanbul, Turkey.

出版信息

J Rhinol. 2022 Nov;29(3):182-184. doi: 10.18787/jr.2022.00425. Epub 2022 Nov 30.

DOI:10.18787/jr.2022.00425
PMID:39664306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11524373/
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.

摘要

我们报告一例局限性鼻子宫内膜异位症病例,以丰富相关文献。一名37岁初产初孕女性,因有周期性鼻出血、鼻痛和鼻塞病史,被诊断为鼻中隔子宫内膜异位症。在进行鼻活检以排除恶性肿瘤后,根据妇科医生的建议进行了全面的全身筛查,确诊为子宫内膜异位症,并开始口服治疗。在1年的随访期内,患者的鼻部症状有显著缓解。我们报告此病例,以证明临床认识到周期性围经期鼻出血、鼻部病变和鼻痛作为鼻中隔子宫内膜异位症病因的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f10e/11524373/e6d731b83d5c/jr-2022-00425f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f10e/11524373/422fe279fff9/jr-2022-00425f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f10e/11524373/e6d731b83d5c/jr-2022-00425f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f10e/11524373/422fe279fff9/jr-2022-00425f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f10e/11524373/e6d731b83d5c/jr-2022-00425f2.jpg

相似文献

1
Perimenstrual Epistaxis Caused by Nasal Septal Endometriosis: Very Rare Case Report.鼻中隔子宫内膜异位症引起的经前期鼻出血:罕见病例报告。
J Rhinol. 2022 Nov;29(3):182-184. doi: 10.18787/jr.2022.00425. Epub 2022 Nov 30.
2
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本文引用的文献

1
Extrapelvic Endometriosis: A Systematic Review.盆腔外子宫内膜异位症:系统评价。
J Minim Invasive Gynecol. 2020 Feb;27(2):373-389. doi: 10.1016/j.jmig.2019.10.004. Epub 2019 Oct 13.
2
Extrapelvic endometriosis: a rare entity or an under diagnosed condition?盆腔外子宫内膜异位症:一种罕见的疾病还是一种被低估的疾病?
Diagn Pathol. 2013 Dec 2;8:194. doi: 10.1186/1746-1596-8-194.
3
Abdominal wall endometrioma mimicking an incarcerated hernia: a case report.腹壁子宫内膜异位症瘤酷似嵌顿疝:病例报告。
Int J Gen Med. 2012;5:569-71. doi: 10.2147/IJGM.S32904. Epub 2012 Jun 29.
4
A case report of nasal endometriosis in a patient affected by Behcet's disease.一例贝赫切特病患者的鼻腔内子宫内膜异位症病例报告。
J Minim Invasive Gynecol. 2012 Jul-Aug;19(4):514-6. doi: 10.1016/j.jmig.2012.03.005.
5
Extragenital endometriosis.生殖器外子宫内膜异位症
Clin Obstet Gynecol. 2010 Jun;53(2):449-66. doi: 10.1097/GRF.0b013e3181e0ea6e.
6
Endometriosis: new concepts in the pathogenesis.子宫内膜异位症:发病机制的新概念。
Int J Biochem Cell Biol. 2010 Jun;42(6):778-80. doi: 10.1016/j.biocel.2010.03.008. Epub 2010 Mar 15.
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Anti-TNF-alpha treatment for deep endometriosis-associated pain: a randomized placebo-controlled trial.抗肿瘤坏死因子-α治疗深部子宫内膜异位症相关疼痛:一项随机安慰剂对照试验。
Hum Reprod. 2008 Sep;23(9):2017-23. doi: 10.1093/humrep/den177. Epub 2008 Jun 12.
8
[Pathogenesis of endometriosis].[子宫内膜异位症的发病机制]
Gynecol Obstet Fertil. 2007 Sep;35(9):898-903. doi: 10.1016/j.gyobfe.2007.07.021. Epub 2007 Aug 21.
9
Genetics of endometriosis.子宫内膜异位症的遗传学
Obstet Gynecol Clin North Am. 2003 Mar;30(1):21-40, vii. doi: 10.1016/s0889-8545(02)00051-7.
10
Current thinking on the pathogenesis of endometriosis.关于子宫内膜异位症发病机制的当前观点。
Gynecol Obstet Invest. 2002;54 Suppl 1:52-8; discussion 59-62. doi: 10.1159/000066295.