Congenital dacryocystocele: diagnosis using ante and post-natal
               ultrasonography

Congenital dacryocystocele is an unusual type of nasolacrimal obstruction. Treatment with antibiotics or surgical removal is practiced to reduce the risks of infection (acute dacryocystitis) and potentially lethal septicemia. Here, we report a case of congenital dacryocystocele, antenatal ultrasonographic diagnosis (intrauterine), and postnatal reassessment.

Dacryocystitis/congenital; Dacryocystitis/ultrasonography; Dacryocystorhinostomy/methods; Pregnancy; Prenatal diagnosis; Humans; Female; Infant, newborn; Case reports

Authorship

Marco Antonio de Campos Machado

Departamento de Oftalmologia, Universidade Federal de São Paulo (UNIFESP - EPM), São Paulo, SP, Brazil.Universidade Federal de São PauloBrazilSão Paulo, SP, BrazilDepartamento de Oftalmologia, Universidade Federal de São Paulo (UNIFESP - EPM), São Paulo, SP, Brazil.

Luiz de Abreu Junior

Setor de Radiologia, Grupo Fleury - São Paulo, SP, Brazil.Grupo FleuryBrazilSão Paulo, SP, BrazilSetor de Radiologia, Grupo Fleury - São Paulo, SP, Brazil.

João Amaro Ferrari Silva

Norma Allemann Corresponding author: Norma Allemann. Rua Olimpíadas, 134 - cj 51 - São Paulo - SP - 04551-000 Brazil. E-mail: norma.allemann@pobox.com

Corresponding author: Norma Allemann. Rua Olimpíadas, 134 - cj 51 - São Paulo - SP - 04551-000 Brazil. E-mail: norma.allemann@pobox.com

Disclosure of potential conflicts of interest: None of the authors have any potential conflicts of interest to disclose.

SCIMAGO INSTITUTIONS RANKINGS

Setor de Radiologia, Grupo Fleury - São Paulo, SP, Brazil.Grupo FleuryBrazilSão Paulo, SP, BrazilSetor de Radiologia, Grupo Fleury - São Paulo, SP, Brazil.

Figures

Figures (2)

Thumbnail

Figure 1
Intrauterine ultrasonography of a 40-week-old fetus. A) Three-dimensional reconstruction ultrasonography (2-MHz linear transducer), where a swelling can be seen in the region of the left eye epicanthus (white arrow). B) The cephalic frontal seccional image (4-MHz linear transducer) shows a cyst formation with hypoechogenic content (cross mark) that is consistent with dacryocystocele.

Thumbnail

Figure 2
A) Clinical photograph of a 14-day-old nursling who presented a bluish cystic swelling in the region below the medial canthal tendon of her left eye, associated to redness, hyperemia, and local heat, characteristic of an infectious process or acute dacryocystitis. B and C) B-mode ultrasonography (10 MHz, skin contact technique) revealed a cystic cavity with an ostium that was seemingly connected to the left nasolacrimal duct, characterizing the dilatation of the lacrimal sac (5.4 x 6.4 mm) without communication with the eye. D) Clinical response after antibiotic therapy, followed by surgical probing and intubation of the left lacrimal duct, which shows a smaller and reducing local swelling.

Figure 1 Intrauterine ultrasonography of a 40-week-old fetus. A) Three-dimensional reconstruction ultrasonography (2-MHz linear transducer), where a swelling can be seen in the region of the left eye epicanthus (white arrow). B) The cephalic frontal seccional image (4-MHz linear transducer) shows a cyst formation with hypoechogenic content (cross mark) that is consistent with dacryocystocele.

Figure 2 A) Clinical photograph of a 14-day-old nursling who presented a bluish cystic swelling in the region below the medial canthal tendon of her left eye, associated to redness, hyperemia, and local heat, characteristic of an infectious process or acute dacryocystitis. B and C) B-mode ultrasonography (10 MHz, skin contact technique) revealed a cystic cavity with an ostium that was seemingly connected to the left nasolacrimal duct, characterizing the dilatation of the lacrimal sac (5.4 x 6.4 mm) without communication with the eye. D) Clinical response after antibiotic therapy, followed by surgical probing and intubation of the left lacrimal duct, which shows a smaller and reducing local swelling.

How to cite

copy

Conselho Brasileiro de Oftalmologia Rua Casa do Ator, 1117 - cj.21, 04546-004 São Paulo SP Brazil, Tel: 55 11 - 3266-4000, Fax: 55 11- 3171-0953 - São Paulo - SP - Brazil
E-mail: abo@cbo.com.br

Acompanhe os números deste periódico no seu leitor de RSS

Versão para download de PDF

PDF

Inglês

Versões e tradução automática

Versão original do texto

English

Tradução automática

Google Translator
Microsoft Translator

Como citar

RIS

BIBTEX

Outros formatos de citação e exportação:

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
E-mail: scielo@scielo.org

Leia a Declaração de Acesso Aberto

Métricas

Congenital dacryocystocele: diagnosis using ante and post-natal ultrasonography

PlumX

Mensagem

[1] Corresponding author: Norma Allemann. Rua Olimpíadas, 134 - cj 51 - São Paulo - SP - 04551-000 Brazil. E-mail: norma.allemann@pobox.com