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Infected dactrocystocele

Case contributed by Abdallah Al Khateeb
Diagnosis almost certain

Presentation

Acute left side orbital pain and mass effect. Preserved extraocular muscle movements and vision.

Patient Data

Age: 40 years
Gender: Female
ct

Thin-wall cystic enhancing lesion arising from the left nasolacrimal duct, with extensive surrounding fat stranding.

Case Discussion

Findings are in keeping with dactrocystocele.

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