MedPix® Patient Chart - Case No: 11037 :: Imaging - Review Images

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History

Age: 1 :: Gender: boy

Patient History

2 month old male with infection of the left eye. Parents do not speak english.

Exam


Physical Exam and Laboratory

Excessive tearing and palpable mass under skin medial to left eye


Imaging

Imaging - Review Images for PT: 11037

Findings


Summary of Findings

Cystic mass with mild peripheral enhancement


Imaging

Imaging - Review Images for PT: 11037

Diffferential


Differential Diagnosis

Dacrocystocele
Hemangioma
Dermoid cyst


Imaging

Imaging - Review Images for PT: 11037

Diagnosis


Case Diagnosis

Dx: Dacrocystocele


Dx Confirmed by: CT findings

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Followup


Followup and Treatment

Topical antibiotics and warm compress

Discussion


Discussion for this Patient

Even though this looked like a 3rd eye - this patient was not so lucky and it turned out to be a Dacrocystocele.

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Topic


Dacryocystocele, tears

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A cystic expansion of the proximal segment of the nasolacrimal duct secondary to a congenital barrier. Dacrocystoceles, also called Timo cysts, can cause excessive tearing (epiphora) and infection.

Frequently recognized on prenatal ultrasound, Timo cysts usually spontaneously disappear within the first 8 months of life without complications.

The differential diagnosis includes anterior encephaloceles, hemangiomas and dermoid cysts.

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History:
2 month old male with infection of the left eye. Parents do not speak english.

Exam:
Excessive tearing and palpable mass under skin medial to left eye

Findings:
Cystic mass with mild peripheral enhancement

Differential:
Dacrocystocele
Hemangioma
Dermoid cyst

Diagnosis:
Dacrocystocele
Confirmed by:CT findings

Treatment and Followup:
Topical antibiotics and warm compress

Discussion:
Even though this looked like a 3rd eye - this patient was not so lucky and it turned out to be a Dacrocystocele.

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Case Contributor and Editor
Topic Author(s): Cory Trivax
Submitted by: Cory Zachary Trivax M.D. - Author Info
Case/Image Editor: James G. Smirniotopoulos, M.D. - Editor Info
Case Accepted: 2007-08-15 06:11:48-04 :: Revised: :: Submitted:
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