American Journal of Ophthalmology Case Reports (Sep 2025)

Ectopic dacryops mimicking a lacrimal sac tumor: A case report and literature review

  • Abdulrahman Alfarhan,
  • Jawaher Alwatban,
  • Hamad Alsuliman,
  • Sahar Elkhamry,
  • Azza Maktabi,
  • Rawan Althaqib

DOI
https://doi.org/10.1016/j.ajoc.2025.102355
Journal volume & issue
Vol. 39
p. 102355

Abstract

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Purpose: To report a rare case of dacryops found within the lacrimal sac, which mimicked a lacrimal sac tumor. Observations: An adult female patient presented with epiphora and chronic swelling of the lacrimal sac, initially raising concerns for a possible lacrimal sac tumor. Imaging revealed a well-defined cystic lesion with a patent lacrimal drainage system. Histopathological examination confirmed the presence of a lacrimal gland cyst (dacryops) within the lacrimal sac. Conclusions and importance: This case highlights the rare occurrence of lacrimal gland tissue within the lacrimal sac, a location that has eluded prior definitive descriptions in the literature. Recognition of this condition is crucial for appropriate diagnosis and management, as it can mimic more serious pathologies such as a lacrimal sac tumor.

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