Presentation
Bulge over the bridge of the nose.
Patient Data
Bilateral bony space filled with anechoic (clear) fluid, contiguous on each side with the ipsilateral orbit.
Bilateral dacryocystocele.
Brain and CSF spaces all appear normal.
Thickened mucosa in the maxillary sinuses and many ethmoid air cells, more prominent on the right side.
Case Discussion
Born at 39 weeks + 3 days gestational age, vaginal birth, APGAR scores normal. At birth, a bulge over the bridge of the nose with bluish discoloring was noted. Mild respiratory distress. Auscultation - rhonchi originating from the upper respiratory tract.
Ultrasound investigation demonstrated bilateral dacryocystocele. The right one was drained. After 2 weeks, a CT scan was done that showed bilateral dacryocystocele and ruled out a bony defect in the skull, i.e. meningo(encephalo)cele.
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