A Case of Endoscopic Management of Dacryocystocele in an Adult / 대한이비인후과학회지

ABSTRACT

Dacryocystocele presents as a distended lacrimal sac and it is often considered to have a congenital etiology. However, dacryocystocele is an uncommon disease in adults. The clinical feature associated with a dacryocystocele is painless swelling at the site of the lacrimal sac, and this is usually found inferior to the medial canthal ligament. The lacrimal excretion test, endoscopy, CT scans and MRI are used to make the diagnosis of dacryocystocele. The management of a congenital dacryocystocele is conservative treatment that involves the use eye drops, lacrimal sac massage, lacrimal probing and surgery in some cases. However, for a dacryocystocele that develops in an adult, the dilated lacrimal sac does not decrease in size, so a nasal drainage procedure is the treatment of choice. We encountered an adult patient who presented with a dacryocystocele with an intranasal cystic mass, which we treated by endoscopic marsupialization. We report on this case along with a review of the related literature.