Periocular infantile hemangioma masquerading as dacryocele

J AAPOS. 2020 Oct;24(5):326-328. doi: 10.1016/j.jaapos.2020.07.001. Epub 2020 Jul 18.

Abstract

A 2-month-old boy developed a protuberant, blue nodule inferomedial to the left medial canthus. It was unresponsive to oral and intramuscular antibiotics. After developing difficulty breathing, he was admitted, with the diagnosis of a dacryocele, and, after an inconclusive ultrasound, underwent probing and irrigation with nasal endoscopy. Intraoperatively, the lesion appeared discontinuous with the nasolacrimal system and could not be decompressed. Postoperative magnetic resonance imaging suggested a hemangioma or possible collapsed dacryocele. Doppler ultrasound confirmed a perinasolacrimal duct hemangioma. Systemic propranolol treatment was initiated.

Publication types

  • Case Reports

MeSH terms

  • Hemangioma* / diagnostic imaging
  • Hemangioma* / surgery
  • Hemangioma, Capillary* / diagnostic imaging
  • Hemangioma, Capillary* / drug therapy
  • Humans
  • Infant
  • Lacrimal Duct Obstruction*
  • Male
  • Nasolacrimal Duct*
  • Propranolol
  • Treatment Outcome

Substances

  • Propranolol