Idiopathic Acquired Dacryocystocele Presenting Only with Epiphora: A Very Rare Case Report

A 42-years-old male presented with left medial canthal swelling, accompanied with only mild epiphora. There was no history of dacryocystitis, mid-facial trauma, surgery, or bloody tears. On examination, there was an immobile, subcutaneous, non-inflammatory mass below the medial canthal tendon. Lacri...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 9; no. 9; p. e1653
Main Authors Anwar, Muhammad Jahanzaib, Choudhry, Saad A, Aadil, Muhammad, Asif, Ahmer, Ameer, Atif
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 04.09.2017
Cureus
Subjects
Case reports
Dentistry
Endoscopy
Internal Medicine
Medicine
Ophthalmology
Otolaryngology
Radiology
Surgery
Tomography
Tumors
epiphora
idiopathic acquired dacryocystocele
dacryocystorhinostomy
medial canthal swelling
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Summary:A 42-years-old male presented with left medial canthal swelling, accompanied with only mild epiphora. There was no history of dacryocystitis, mid-facial trauma, surgery, or bloody tears. On examination, there was an immobile, subcutaneous, non-inflammatory mass below the medial canthal tendon. Lacrimal irrigation showed blockade at the nasolacrimal duct. A computerized axial tomography (CAT) scan revealed a non-enhancing, low-density, cystic lesion at the inferomedial margin of the orbit. There were no signs of bony erosion, consistent with idiopathic acquired dacryocystocele. The patient underwent external dacryocystorhinostomy (DCR) with silicone tube intubation. The patient's symptoms of epiphora resolved after surgery. Idiopathic acquired dacryocystocele with only epiphora, although rare, should be considered in differential diagnosis of medial canthal, non-inflammatory swellings. In areas with insufficient endoscopic facilities, external dacryocystorhinostomy gives similar promising results.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.1653