Abstract
A 12-year-old boy presented to the clinic of ophthalmology because of watering and discharge from his left lower eyelid. The inspection examination revealed an orifice that was associated with congenital lacrimal fistula (CLF). He underwent a complete ophthalmologic and systemic evaluation to explore possible associated findings. Systemic evaluation revealed multiple renal anomalies: right renal agenesis and left ectopic pelvic kidney. This case is unique because this is the first reported case of CLF accompanied with ectopic pelvic kidney in the literature.
Highlights
Rasor described the first reported case of congenital lacrimal fistula (CLF) in 1675 [1]
CLF is a rare abnormality of the nasolacrimal excretory system that is approximately encountered in every 1/2000 birth [2]
The CLF was connected to the lower portion of lacrimal sac, and there was no combined nasolacrimal duct obstruction or stenosis
Summary
Rasor described the first reported case of congenital lacrimal fistula (CLF) in 1675 [1]. CLF is a rare abnormality of the nasolacrimal excretory system that is approximately encountered in every 1/2000 birth [2]. CLF might be genetic with autosomal dominant inheritance [2,3,4], but an autosomalrecessive inheritance pattern has been reported in the literature [5, 6]. There does not appear to be any race or sex predilection. In this report we would like to present a case of unilateral CLF accompanied with multiple renal anomalies and its surgical management
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