Heather Borders, MD
over 6 years ago
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Joseph Junewick, MD FACR
|Diagnostic Category: Genetic or Congenital
|Created: over 7 years ago
|Updated: over 7 years ago
Newborn with bluish medial canthus mass.
US – Hypovascular complex cystic mass medial to the right oculus.
Congenital dacrocystocele is related to imperforate valve of Hasner leading to obstruction and dilation of the lacrimal apparatus. Persistent obstruction can lead to nasal mass (inferior to the inferior nasal turbinate), epiphoria and/or periorbital cellulitis. Dacrocystoceles usually resolve spontaneously during the first 6 months of life but may require massage or gentle probing to relieve the obstruction.
Sepulveda M et al. Congenital Dacrocystocele. J Ultrasound Med 2005; 24:225-230.