Dacryocystocele with obstructed nasolacrimal duct (dacryoscintigraphy and SPECT/CT)

Case contributed by Claire Cuscaden
Diagnosis certain


Chronic left sided epiphora.

Patient Data

Gender: Male

Dacroscintigraphy performed following topical eye drops containing Tc99mO4- (Pertechnetate). 

Dynamic planar imaging performed to 60 minutes with SPECT/CT performed of the facial bones. 

SPECT/CT confirms a 10 x 14mm left sided dacryocystocele and no radiotracer identifiable within the nasolacrimal duct or nasal cavity. Radiotracer is confirmed within the right nasolacrimal duct, inferior nasal meatus and pharynx. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.