Dacryocystocele - adult

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Painless swelling of the left medial canthus.

Patient Data

Age: 50 years
Gender: Male
ct

There is a well-defined thin-walled cystic lesion of the left medial canthus at the nasolacrimal duct, measuring 28 x 20 x 18 mm with fluid homogeneous content (mean density = 18 HU) and no peripheral enhancement on contrast-enhanced images. 

Case Discussion

CT features of a well-defined thin-walled cystic lesion of the left medial canthus enlarging the nasolacrimal duct most consistent with a dacryocystocele.

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