Presentation
Large soft tissue bulge in right side medial canthus and epiphora for six months.
Patient Data
Age: 75 years
Gender: Male
From the case:
Dacryocystocele
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large mass like cystic right lacrimal sac extended within medial canthus and adjacent eyelid on the nasal side is seen. Bilateral enophthalmos and no native lens in the eyes are seen.\u003c/p\u003e","gb":"\u003cp\u003eA large mass like cystic right lacrimal sac extended within medial canthus and adjacent eyelid on the nasal side is seen. Bilateral enophthalmos and no native lens in the eyes are seen.\u003c/p\u003e"},"contributor_login":"shervin","case_id":148071,"case_key_image_id":58962333,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false}}
A large mass like cystic right lacrimal sac extended within medial canthus and adjacent eyelid on the nasal side is seen. Bilateral enophthalmos and no native lens in the eyes are seen.
Case Discussion
The case illustrates the non-contrast MDCT feature of dacryocystocele presenting as a medial canthus mass lesion. One of the main causes of medial canthus mass lesion is a cystic change of lacrimal sac which is in turn usually due to nasolacrimal duct obstruction.
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