Bilateral dacryocystitis and dacryocystocele

Case contributed by Shervin Sharifkashani


Bilateral epiphora and medial canthus painful soft tissue bulge more prominent in right side.

Patient Data

Age: 65 years
Gender: Female

Bilaterally distended lacrimal sacs are more pronounced on the right side, relatively thickened lacrimal sacs more pronounced on the right side, dense fluid in the left lacrimal sac is more consistent with hemorrhage, and fluid in the left mastoid and middle ear are seen. Right eye temporal deviation is also seen.

Case Discussion

The case illustrates the typical non-contrast MDCT features of bilateral and asymmetric dacryocystitis and dacryocystocele which being bilateral is relatively rare.

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