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Dacrocystocele

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

An infant presented with left inner canthus swelling

Patient Data

Gender: Male
ct

 Left inner canthus small well defined thin walled cyst. It's anteromedial to the left globe. No underlying bone erosive changes. Clear surrounding fat planes.

Bilateral maxillary & ethmoid sinusitis. 

Case Discussion

Dacryocystocele commonly manifest as a tense, blue-gray mass at the medial canthus or in the nasal cavity. Dacryocystoceles can cause:

  • nasal obstruction
  • become infected ( postnatal infection of an intact dacryocystocele is known asdacryocystitis )
  • spontaneously rupture so that their contents drain into the nose. 

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