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Dacryocystitis

Case contributed by Charlie Chia-Tsong Hsu
Diagnosis almost certain

Presentation

Left orbital swelling.

Patient Data

Age: 90 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

Hyperdense medial epicanthal mass (fluid density) centered over the left lacrimal sac. Associated pre-septal soft tissue standing. No post-septal inflammation. No dacryolithiasis or subperiosteal abscess.

Case Discussion

Dacryocystitis is inflammation/infection of the lacrimal sac from an obstruction. This can be classified as congenital or acquired. In adults, the lacrimal sac or nasolacrimal duct can be obstructed by dacryolithiasis or mucus/soft tissue debris, which predisposes to infection. 

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