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Congenital Diaphragmatic Hernia
Joseph Junewick, MD FACR
over 5 years ago
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Dacrocystocele

Case Detail

Anatomy: Neck-Face
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Genetic or Congenital
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: US
Activities:
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History

Newborn with bluish medial canthus mass.


Case Images


Diagnosis

Dacrocystocele

Findings

US – Hypovascular complex cystic mass medial to the right oculus.

Discussion

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.

Reference

Sepulveda M et al. Congenital Dacrocystocele. J Ultrasound Med 2005; 24:225-230.



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