Periocular infantile hemangioma masquerading as dacryocele

A 2-month-old boy developed a protuberant, blue nodule inferomedial to the left medial canthus. It was unresponsive to oral and intramuscular antibiotics. After developing difficulty breathing, he was admitted, with the diagnosis of a dacryocele, and, after an inconclusive ultrasound, underwent prob...

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Bibliographic Details
Published inJournal of AAPOS Vol. 24; no. 5; pp. 326 - 328
Main Authors Bonafede, Lucas, Go, Michelle, Cheng, Jeffrey, Belcastro, Alexandra A., Bellet, Jane S., Gabr, Hesham, Freedman, Sharon F., Velez, Federico G.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.10.2020
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Summary:A 2-month-old boy developed a protuberant, blue nodule inferomedial to the left medial canthus. It was unresponsive to oral and intramuscular antibiotics. After developing difficulty breathing, he was admitted, with the diagnosis of a dacryocele, and, after an inconclusive ultrasound, underwent probing and irrigation with nasal endoscopy. Intraoperatively, the lesion appeared discontinuous with the nasolacrimal system and could not be decompressed. Postoperative magnetic resonance imaging suggested a hemangioma or possible collapsed dacryocele. Doppler ultrasound confirmed a perinasolacrimal duct hemangioma. Systemic propranolol treatment was initiated.
ISSN:1091-8531
1528-3933
DOI:10.1016/j.jaapos.2020.07.001