Dacryocystocele

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Mass filling within the right orbit.

Patient Data

Age: 80
Gender: Female
MRI

Well –defined cystic lesion, measuring 28×20×19 mm is noted at medial portion of right orbit with extension into nasolacrimal duct. The lesion is slightly high signal on T1w and bright signal on T2w images infavour of high proteinous contents.

Right globe is displaced laterally and proximal portion of nasolacrimal duct is dilated.

Case Discussion

Features of MRI are compatible with right dacryocystocele (acquired).

Dacryocystocele commonly manifest as a tense, blue-gray mass at the medial canthus or in the nasal cavity due to primary or acquired nasolacrimal duct obstruction. 

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Case information

rID: 54243
Case created: 29th Jun 2017
Last edited: 30th Jun 2017
System: Head & Neck
Inclusion in quiz mode: Included

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