- MedPix™ TF Case: 14082 :: :: <- Highlight Any Word(s) to Search ->

:: Congenital dacryocystocele on the Right

14 day old baby girl with trouble feeding.

Negative physical except possible choanal atresia

Endoscopy done to evaluate for choanal atresia. Mass seen adjacent to inferior turbinate on the right.

• Asymmetric expansion of the right bony nasolacrimal canal.
• Soft tissue mass extending from the nasal opening of the nasolacrimal duct into inferior aspect of the nose.

• mucocele
• dermoid
• teratoma
• nasolacrimal duct cyst

Dx: Congenital dacryocystocele on the Right

Dx Confirmed by: Endoscopy and CT scan

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None to date

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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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Post-operative:
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