Dacryocele in an adult presenting as facial cellulitis

Abstract

A 47-year-old man presented with severe pain and erythema in the region of the left medial canthal area extending to the angle of the mouth for one week. On questioning, he gave a history of watering for more than 30 years.Physical examination showed non-axial superotemporal proptosis of the left globe. Palpation revealed a diffuse, tender, firm, irreducible mass in the inferomedial aspect of the left orbit, below the medial canthal tendon. Ocular motility was Dacryocele in an adult presenting as facial cellulitis ABSTRACTA 47-year-old male presented with left sided facial cellulitis of one-week duration associated with a painful mass over the left medial canthal area. On examination, there was a firm, tender mass below the medial canthal tendon. Computed tomography scan revealed a bulky, cystic lesion at the left inferomedial orbit and medial maxilla with bony remodeling suggestive of a chronic dacryocele. The patient underwent marsupialization of the dacryocele at the inferior meatus with silicone tube intubation. His symptoms of epiphora resolved after surgery.We describe a rare clinical presentation of dacryocele in an adult and its simple, yet effective treatment option.