Case contributed by Shervin Sharifkashani
Diagnosis almost certain


Right side epiphora and painful soft tissue bulge in medial canthus.

Patient Data

Age: 40 years
Gender: Male

Cystic distention of the right lacrimal sac and preseptal soft tissue swelling and nasal deviation of the right eye are seen.

Case Discussion

The case illustrates the non-contrast MDCT features of dacryocystocele. The major cause of dacryocystocele is nasolacrimal duct obstruction.

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