Bilateral Congenital Dacryocystocoeles with Concurrent Intranasal Mucocoeles Causing Respiratory Distress in a Neonate

Abstract

Congenital dacryocystocoeles are uncommon, presenting as a fluctuant bluish mass inferior to the medial canthus. Even more rarely, these dacryocystocoeles are complicated by intranasal extension. We present a case of a newborn infant with bilateral dacryocystocoeles with intranasal extension (intranasal mucocoeles) causing respiratory distress and feeding difficulties. Prompt surgical correction was performed, with the mucocoeles being de-roofed, leading to the resolution of the dacryocystocoeles. The aetiology, clinical features, and therapeutic options are discussed.

Keywords

• dacryocystocoele
• nasal mucocoele
• nasolacrimal duct cyst
• neonatal respiratory distress