Bilateral congenital dacryocystocele-A case report

Abstract

Congenital dacryocystocele is a rare congenital anomaly of the lacrimal drainage system (0.02% of newborns), which refers to the cystic dilatation of the lacrimal sac and nasolacrimal duct. In most cases the pathology is unilateral with female predominance. Bilateral cases constitute 10% of all cases and in most babies with bilateral disease there are coexistent nasal cysts. Clinically, dacryocystocele presents as a grey-bluish cystic swelling of the lacrimal sac in the medial canthal area that typically present at birth and often resolve spontaneously with conservative management in the first months of life. Bilateral cases of congenital dacryocele are rarely reported, especially isolated dacryocystoles without coexistent nasal cysts. We present a rare case of bilateral congenital dacryocystocele in a 10-day-old newborn boy, without concomitant intranasal cysts. The infant was treated conservative with spontaneous resolution of the disease 6 weeks after treatment initialization. No dacryocystitis or preseptal cellulitis was observed, nevertheless rupturing of the dacryocystocele to the common canaliculus.