Acute dacryocystitis with giant lacrimal abscess: a case report

Abstract

Background: We report a case of a 4-year-old girl with acute dacryocystitis complicated with giant lacrimal abscess who underwent open dacryocystectomy as resolutive surgery. Case presentation: A 4-year-old previously healthy girl presented to the emergency department with a voluminous and erythematous, fluctuant warm mass localized inferiorly to the medial canthus of the right eye. She had a 2-week history of right inferior eyelid oedema and hyperemia, treated firstly with dexamethasone and netilmicin by eye drops, and then with per oral amoxicillin clavulanate. Ultrasound examination showed a well-circumscribed round lesion filled by anechoic fluid with punctate echoes, confirming a diagnosis of acute dacryocystitis complicated by lacrimal abscess. Parents refused a head CT. Systemic antibiotic treatment was started and, on 5th day from admission, open dacryocystectomy was performed with good esthetical result. Conclusions: Pediatric acute dacryocystitis is a potentially serious condition, which must be treated with intravenous antibiotic therapy followed by surgery tailored to the clinical history. Even if probing and dacryocystorhinostomy are the most used surgery in adults and children, open dacryocystectomy is a safe and successful option, mainly in severe cases where imaging studies are not available.

Pediatric Acute Dacryocystitis and Orbital Cellulitis With Concurrent COVID-19 Infection: A Case Report

“…The diagnostic workup in our case included a contrast-enhanced CT scan, which not only confirmed the presence of acute dacryocystitis but also revealed subperiosteal cellulitis and ethmoid sinusitis [ 4 ]. These imaging findings were crucial in characterizing the extent of orbital involvement and guiding appropriate management.…”

Epstein–Barr virus-related dacryocystitis: a case report

“…Literature is scarce but recommends avoiding surgery in the absence of complications such as preseptal cellulitis, ethmoiditis, cavernous sinus thrombosis, meningitis, and abscess [ 1 , 2 , 5 , 7 , 8 ]. Invasive treatment seems to be inadequate owing to the risk of cutaneous fistula or postoperative stenosis [ 16 ]. In this case, it is important to be aware of the possible ongoing viral fever in a patient undergoing antibiotic therapy, which could encourage unnecessary invasive treatment.…”

Patients Eagerness for 2nd Eye External Dacryocystorhinostomy after the Satisfactory Surgery of 1st Eye in Tertiary Care Hospital of Islamabad Suburbs

“…It remains the gold standard by which other procedures are being measured. 9 Fear of any surgical procedure is very obvious. However, in nasolacrimal duct obstruction, patients usually have long-term symptoms, and patients do not prefer surgery because of fear regarding this procedure, such as fear of the long surgical procedure, anaesthesia, facial scar, prolonged intubation etc.…”