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 Table of Contents  
TEACHING IMAGES
Year : 2014  |  Volume : 2  |  Issue : 2  |  Page : 261-262

Dacryocystocele


1 Department of ENT, Yenepoya Medical College, Nithyananda Nagara, Deralakatte, Karnataka, India
2 Department of ENT, K S Hegde Medical Academy, Mangalore, Karnataka, India

Date of Web Publication11-Nov-2014

Correspondence Address:
KS Gangadhara Somayaji
Department of ENT, Yenepoya Medical College, Mangalore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2321-4848.144368

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How to cite this article:
Somayaji KG, Aroor R, Nalapad A M, Jones K T. Dacryocystocele . Arch Med Health Sci 2014;2:261-2

How to cite this URL:
Somayaji KG, Aroor R, Nalapad A M, Jones K T. Dacryocystocele . Arch Med Health Sci [serial online] 2014 [cited 2019 Oct 17];2:261-2. Available from: http://www.amhsjournal.org/text.asp?2014/2/2/261/144368


  Case Report Top


A 78-year-old lady presented to ENT outpatient with history of watering of left eye since 3 years and painless gradually progressing swelling on the medial aspect of the left eye of 6 months duration [Figure 1]. On examination, the swelling was globular, 2 × 2.5 cm, firm, non-tender, transilluminant and non-compressible situated below and medial to medial canthus on left side extending over the bridge of the nose. Right eye was normal. Syringing revealed a block at the level of common canaliculus. ENT examination was normal. A provisional diagnosis of left dacryocystocele was made. In view of non-fluctuant and firm nature of the swelling, an MRI scan was taken. It was suggestive of a fluid-filled lesion of the left lacrimal sac [Figure 2]. The mass was excised through external incision, and dacryocystectomy was done. The contents of the swelling were mucoid, and the histopathology was consistent with chronic inflammation.
Figure 1: Showing the swelling below and medial to left medial canthus

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Figure 2: MRI Image showing the swelling involving the left lacrimal sac

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  Discussion Top


Dacryocystoceles, also called lacrimal mucoceles and amniocelesare secondary to proximal and distal nasolacrimal pathway obstruction resulting lacrimal sac enlargement. [1] Though more commonly seen in infants and young children, occasional cases have been reported in the adults and elderly age group. [2] Extensive mucoceles extending into orbit, intranasally and over the bridge of the nose have been reported. [3] Patients may present with nasal obstruction, watering of the eye, and features of dacryocystitis. Confirmation of the diagnosis is by CT or MRI. [4] When seen in neonates, medical treatment including massage, antibiotic eye drops, and warm compression may be tried. Occasional cases may require probing. [1] However, larger swellings in adults and elderly will require excision through external or endonasal approach depending on the status of common canaliculus. [3]



 
  References Top

1.Wasserman BN, Schnall BM, Levin AV. Sequential bilateral dacryocele. Arch Opthalmaol 2011;129:104-5.  Back to cited text no. 1
    
2.Sagili S, Thaung CM, Malhotra R. Lacrimal sac mucocele. Br J Opthalmol 2013;97:106.  Back to cited text no. 2
    
3.Krisnamurthy G, Padmavar BU, Desai Y. An encysted lacrimal mucocele with orbital extension. Indian J Opthalmol 1977;25:40-1.  Back to cited text no. 3
    
4.Koch BL. Case 73: Nasolacrimal duct mucocele. Radiology 2004;232:370-2.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2]



 

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