Document Detail

Atypical presentation of a dacryolith.
MedLine Citation:
PMID:  10923979     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe the clinical features and management of a patient with an extralacrimal dacryolith. METHODS: Case report. RESULTS: A 43-year-old woman remarked at a routine eye examination that a small, firm mass located for several years on the right side of her nose had recently become slightly larger. The mass had remained firm and nontender during this enlargement. She explicitly denied having any past or current lacrimal outflow problems. Surgical excision disclosed a mass external to the lacrimal sac and duct, adherent to its lateral wall. The histopathologic features were consistent with a dacryolith surrounded by a chronic inflammatory reaction and no epithelial lining. CONCLUSION: We presume that the dacryolith must have formed within the lacrimal sac and then migrated laterally into the surrounding soft tissue.
F P Bernardini; R C Kersten; A G Spaulding; M Moin; D R Kulwin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  16     ISSN:  0740-9303     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-11-22     Completed Date:  2000-12-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  301-3     Citation Subset:  IM    
Department of Ophthalmology, University of Cincinnati, Ohio, USA.
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MeSH Terms
Calculi / pathology,  surgery*
Dacryocystorhinostomy / methods
Diagnosis, Differential
Lacrimal Apparatus Diseases / pathology,  surgery*

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