Presumed Nasolacrimal Endometriosis

İlgın Türkçüoğlu, Türkçüoğlu I, Ilgin Türkçüoğlu, Peykan Türkçüoğlu, Türkçüoğlu P, Jülide Kurt, Kurt J, Julide Kurt, Yildirim H, Hanefi Yldrm, Hanefi Yildirim
Ophthalmic plastic and reconstructive surgery · 2008 · vol. 24(1) , pp. 47–48 · doi:10.1097/iop.0b013e31815c9053 · PMID:18209641 · W2025063185
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

A 13-year-old girl with cyclic punctal bleeding during menstruation was diagnosed with nasolacrimal endometriosis using gradient-echo MRI, demonstrating hemorrhagic tissue in the nasolacrimal canal.

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This case report describes a 13-year-old girl presenting with cyclic bleeding from the left inferior punctum synchronized with her menstrual cycle. Gradient-echo magnetic resonance imaging revealed hemorrhagic tissue within the nasolacrimal canal, leading to a diagnosis of presumed nasolacrimal endometriosis. The authors note that while this is a rare ocular condition, MRI serves as a useful diagnostic tool, though management and histologic confirmation remain challenging due to the rarity of the presentation. This paper is centrally about endometriosis — specifically an extremely rare extra-pelvic manifestation involving the nasolacrimal system.

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Abstract

In Brief A 13-year-old girl was admitted with a complaint of cyclic bleeding from the left inferior punctum with menstruation. Crusted hemorrhage was noticed in the tear meniscus of the left eye and just inferior to the left caruncle. With gradient-echo magnetic resonance imaging, the hemorrhagic tissue in the nasolacrimal canal was demonstrated and the diagnosis of nasolacrimal endometriosis was made. Nasolacrimal endometriosis is a rare ocular condition. Its management and histologic diagnosis remain challenging. Gradient-echo magnetic resonance imaging may be helpful in the diagnosis of nasolacrimal endometriosis.
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Brief Reports Presumed Nasolacrimal Endometriosis - Ilgin Türkçüoğlu - Peykan Türkçüoğlu - Julide Kurt - Hanefi Yldrm Ophthalmic Plastic & Reconstructive Surgery 24(1):p 47-48, January-February 2008. | DOI: 10.1097/IOP.0b013e31815c9053 Abstract: A 13-year-old girl was admitted with a complaint of cyclic bleeding from the left inferior punctum with menstruation. Crusted hemorrhage was noticed in the tear meniscus of the left eye and just inferior to the left caruncle. With gradient-echo magnetic resonance imaging, the hemorrhagic tissue in the nasolacrimal canal was demonstrated and the diagnosis of nasolacrimal endometriosis was made. Nasolacrimal endometriosis is a rare ocular condition. Its management and histologic diagnosis remain challenging. Gradient-echo magnetic resonance imaging may be helpful in the diagnosis of nasolacrimal endometriosis. Copyright ©2008The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Lacrimal Apparatus Diseases Adolescent Endometriosis Female Humans Lacrimal Apparatus Diseases Magnetic Resonance Imaging Menstruation Menstruation Nasolacrimal Duct Nasolacrimal Duct

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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