CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2023; 10(02): 082-084
DOI: 10.1055/s-0043-57003
Case Report

A Rare Case of Dacryocystocele Diagnosed by Antenatal Ultrasonography at 26 Weeks of Gestation

Parvathy Ganesan
1   Department of Fetomaternal Medicine, Pran Fertility and Well Women Centre, Thiruvananthapuram, Kerala, India
2   Department of Fetomaternal Medicine, CIMAR Cochin Hospital, Kochi, Kerala, India
Meenu Batra Parasuram
2   Department of Fetomaternal Medicine, CIMAR Cochin Hospital, Kochi, Kerala, India
› Author Affiliations


Dacryocystocele is a rare variant of obstruction of the nasolacrimal duct that results in a fluid-filled, closed sac. It often resolves by the spontaneous perforation of the distal membrane during the early neonatal period, resulting in drainage of the accumulated fluid. If persisting, this benign condition can be usually treated postnatally. If the cysts occur bilaterally, there can be an obstruction to the nasal passage due to their possible intranasal extension and might require surgical intervention postnatally to prevent or treat respiratory distress. Also, it may be a part of a few syndromes, which makes the early prenatal diagnosis very important. In this case report, we present a case of unilateral dacryocystocele reported as early as 26 weeks, 3 days of gestation detected by ultrasound that spontaneously resolved by 33 weeks. This is one of the earliest reported three-dimensional/four-dimensional ultrasound diagnosis of dacryocystocele.

Publication History

Article published online:
12 May 2023

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  • References

  • 1 Salvetat ML, D'Ottavio G, Pensiero S, Vinciguerra A, Perissutti P. Prenatal sonographic detection of a bilateral dacryocystocele. J Pediatr Ophthalmol Strabismus 1999; 36 (05) 295-297
  • 2 Sharony R, Raz J, Aviram R, Cohen I, Beyth Y, Tepper R. Prenatal diagnosis of dacryocystocele: a possible marker for syndromes. Ultrasound Obstet Gynecol 1999; 14 (01) 71-73
  • 3 Yazici Z, Kline-Fath BM, Yazici B, Rubio EI, Calvo-Garcia MA, Linam LE. Congenital dacryocystocele: prenatal MRI findings. Pediatr Radiol 2010; 40 (12) 1868-1873
  • 4 Alper CM, Chan KH, Hill LM, Chenevey P. Antenatal diagnosis of a congenital nasolacrimal duct cyst by ultrasonography: a case report. Prenat Diagn 1994; 14 (07) 623-626
  • 5 Meizner I, Bar-Ziv J, Holcberg G, Katz M. In utero prenatal diagnosis of fetal facial tumor-hemangioma. J Clin Ultrasound 1985 Jul-Aug;13(06):435–437. Doi: 10.1002/jcu.1870130615. PMID: 3928698
  • 6 Pennell RG, Baltarowich OH. Prenatal sonographic diagnosis of a fetal facial hemangioma. J Ultrasound Med 1986; 5 (09) 525-528
  • 7 Mansour AM, Barber JC, Reinecke RD, Wang FM. Ocular choristomas. Surv Ophthalmol 1989; 33 (05) 339-358
  • 8 Sepulveda W, Wojakowski AB, Elias D, Otaño L, Gutierrez J. Congenital dacryocystocele: prenatal 2- and 3-dimensional sonographic findings. J Ultrasound Med 2005; 24 (02) 225-230
  • 9 Brugger PC, Weber M, Prayer D. Magnetic resonance imaging of the fetal efferent lacrimal pathways. Eur Radiol 2010; 20 (08) 1965-1973
  • 10 Walsh G, Dubbins PA. Antenatal sonographic diagnosis of a dacryocystocele. J Clin Ultrasound 1994; 22 (07) 457-460
  • 11 Davis WK, Mahony BS, Carroll BA, Bowie JD. Antenatal sonographic detection of benign dacrocystoceles (lacrimal duct cysts). J Ultrasound Med 1987; 6 (08) 461-465
  • 12 Westbrook BJ, Scurry Jr WC, Hudak DT, McGinn J, Stack Jr BC. Recurrent bilateral dacryocystoceles in Wegener's granulomatosis: a rhinologic perspective. Am J Otolaryngol 2006; 27 (06) 409-412
  • 13 Gubbels SP, Barkhuizen A, Hwang PH. Head and neck manifestations of Wegener's granulomatosis. Otolaryngol Clin North Am 2003; 36 (04) 685-705
  • 14 Kim YH, Lee YJ, Song MJ, Han BH, Lee YH, Lee KS. Dacryocystocele on prenatal ultrasonography: diagnosis and postnatal outcomes. Ultrasonography 2015; 34 (01) 51-57