"Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has."

Margaret Mead
Case report
peer-reviewed

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



Abstract

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.



Want to read more?

Create a free account to continue reading this article.

Already a member? Login.



Case report
peer-reviewed

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


Author Information

Muhammad Jahanzaib Anwar Corresponding Author

Department of Internal Medicine, Rush University Medical Center

Department of Ophthalmology, Bahawal Victoria Hospital, Bahawalpur, Pakistan

Saad A. Choudhry

Internal Medicine, University of California Davis

Muhammad Aadil

Department of Medicine, FMH College of Medicine and Dentistry

Ahmer Asif

Department of Internal Medicine, FMH College of Medicine and Dentistry

Atif Ameer

Department of internal Medicine, Lahore Medical And Dental College, Lahore, Pakistan


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

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


Figures etc.

Share
Case report
peer-reviewed

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

Muhammad Jahanzaib Anwar">Muhammad Jahanzaib Anwar , Saad A. Choudhry">Saad A. Choudhry, Muhammad Aadil">Muhammad Aadil, Ahmer Asif">Ahmer Asif, Atif Ameer">Atif Ameer

  • Author Information
    Muhammad Jahanzaib Anwar Corresponding Author

    Department of Internal Medicine, Rush University Medical Center

    Department of Ophthalmology, Bahawal Victoria Hospital, Bahawalpur, Pakistan

    Saad A. Choudhry

    Internal Medicine, University of California Davis

    Muhammad Aadil

    Department of Medicine, FMH College of Medicine and Dentistry

    Ahmer Asif

    Department of Internal Medicine, FMH College of Medicine and Dentistry

    Atif Ameer

    Department of internal Medicine, Lahore Medical And Dental College, Lahore, Pakistan


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: September 04, 2017

    DOI

    10.7759/cureus.1653

    Cite this article as:

    Anwar M, Choudhry S A, Aadil M, et al. (September 04, 2017) Idiopathic Acquired Dacryocystocele Presenting Only with Epiphora: A Very Rare Case Report. Cureus 9(9): e1653. doi:10.7759/cureus.1653

    Publication history

    Received by Cureus: August 01, 2017
    Peer review began: August 25, 2017
    Peer review concluded: August 29, 2017
    Published: September 04, 2017

    Copyright

    © Copyright 2017
    Anwar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

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.



Want to read more?

Create a free account to continue reading this article.

Already a member? Login.



Muhammad Jahanzaib Anwar

Department of Internal Medicine, Rush University Medical Center

For correspondence:
docjazzya@gmail.com

Saad A. Choudhry, M.D.

Internal Medicine, University of California Davis

Muhammad Aadil

Department of Medicine, FMH College of Medicine and Dentistry

Ahmer Asif

Department of Internal Medicine, FMH College of Medicine and Dentistry

Atif Ameer

Department of internal Medicine, Lahore Medical And Dental College, Lahore, Pakistan

Muhammad Jahanzaib Anwar

Department of Internal Medicine, Rush University Medical Center

For correspondence:
docjazzya@gmail.com

Saad A. Choudhry, M.D.

Internal Medicine, University of California Davis

Muhammad Aadil

Department of Medicine, FMH College of Medicine and Dentistry

Ahmer Asif

Department of Internal Medicine, FMH College of Medicine and Dentistry

Atif Ameer

Department of internal Medicine, Lahore Medical And Dental College, Lahore, Pakistan