Dacryocystitis

Case contributed by Dr Aakash Patel

Presentation

Patient presented with swelling near the medial canthus of right eye.

Patient Data

Age: 50 years
Gender: Male
MRI

Well-defined T2 hyperintense and T1 hypointense lesion in the region of the right lacrimal gland extending slightly into the right nasolacrimal duct. The lesion shows restricted diffusion on DWI and mild peripheral enhancement on past contrast study. Mild surrounding soft tissue inflammatory changes are seen. Findings are consistent with dacryocystitis.

Case Discussion

Dacryocystitis is inflammation of lacrimal gland most likely related to improper drainage along the nasolacrimal duct.  Symptoms include pain, redness and swelling along the inner corner of the eye with watery eyes. 

Radiologically it presents as well circumscribed lesion along the medial canthus of the eye which demonstrates enhancement on a postcontrast study. 

In the acute phase, treatment includes antibiotics. Surgery is usually required in chronic phase. The most dreaded complication includes orbital cellulitis.

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Case information

rID: 56144
Case created: 13th Oct 2017
Last edited: 22nd Oct 2017
System: Head & Neck
Inclusion in quiz mode: Included
Institution: Shalby Hospital, Ahmedabad

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