Periocular infantile hemangioma masquerading as dacryocele.

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Bonafede, L; Go, M; Cheng, J; Belcastro, AA; Bellet, JS; Gabr, H; Freedman, SF; Velez, FG

Published Date

  • October 2020

Published In

Volume / Issue

  • 24 / 5

Start / End Page

  • 326 - 328

PubMed ID

  • 32693170

Electronic International Standard Serial Number (EISSN)

  • 1528-3933

Digital Object Identifier (DOI)

  • 10.1016/j.jaapos.2020.07.001


  • eng

Conference Location

  • United States