American Journal of Case Reports最新文献_第4页

Extragastrointestinal Stromal Tumor Mimicking Appendicitis: A Case Study.

IF 1

American Journal of Case Reports Pub Date : 2025-02-19 DOI: 10.12659/AJCR.944665

Ricardo Martinez, Michael Lezcano, Jonak Randhawa, Shahryar Aijaz, Yara Al Mazouni, Ahmed Altamimi, Norka Camacho-Perez, Feras Othman, Andrew M O'Neill, Joshua A Simon

{"title":"Extragastrointestinal Stromal Tumor Mimicking Appendicitis: A Case Study.","authors":"Ricardo Martinez, Michael Lezcano, Jonak Randhawa, Shahryar Aijaz, Yara Al Mazouni, Ahmed Altamimi, Norka Camacho-Perez, Feras Othman, Andrew M O'Neill, Joshua A Simon","doi":"10.12659/AJCR.944665","DOIUrl":"10.12659/AJCR.944665","url":null,"abstract":"BACKGROUND Extragastrointestinal stromal tumors (E-GISTs) are a rare subtype of gastrointestinal stromal tumors (GISTs) that develop outside of the gastrointestinal tract from interstitial cells of Cajal, exhibiting specific markers such as CD117 and DOG1. These tumors often present diagnostic challenges, particularly when their clinical manifestations mimic other abdominal conditions, such as acute appendicitis. CASE REPORT A 75-year-old male patient with a history of multiple comorbidities presented to the Emergency Department with symptoms of chronic pain in the right lower quadrant. Imaging studies, including computed tomography scans, revealed a large heterogeneous density mass measuring 11.3×9.2 cm in the right lower quadrant and a dilated appendix with wall thickening. Subsequent surgical resection with right hemicolectomy and primary anastomosis was performed, and postoperative considerations included adjuvant therapy with imatinib, due to spindle cell morphology and high mitotic activity. Histopathological examination and immunohistochemical staining confirmed the diagnosis, showing positive CD117, DOG1, Bcl-2, D2-40, and WT1 markers. CONCLUSIONS This case report aims to highlight the complexities in diagnosing E-GISTs with atypical presentations and emphasizes the critical role of comprehensive imaging and histopathological assessments in achieving an accurate diagnosis and guiding appropriate management strategies. The successful diagnosis and management highlight the critical role of imaging modalities and immunohistochemical analysis in guiding treatment decisions, while postoperative care, including targeted therapy, is crucial for reducing the risk of recurrence and improving patient outcomes. Future research should focus on optimizing postoperative management strategies and investigating the potential of intraoperative biopsies for tumors abutting adjacent structures.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e944665"},"PeriodicalIF":1.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergency Management of Cut Throat Injury: A Report of 2 Cases.

IF 1

American Journal of Case Reports Pub Date : 2025-02-18 DOI: 10.12659/AJCR.946414

Guoping Dai, Xin Yan

{"title":"Emergency Management of Cut Throat Injury: A Report of 2 Cases.","authors":"Guoping Dai, Xin Yan","doi":"10.12659/AJCR.946414","DOIUrl":"10.12659/AJCR.946414","url":null,"abstract":"BACKGROUND Cut throat injury (CTI) is a type of penetrating neck injury that is an emergency in otorhinolaryngology and head and neck surgery. CASE REPORT We report 2 cases of CTI in zone 2. Patient 1 had severe injury to the larynx, trachea, and esophagus due to attempted suicide, whereas Patient 2 had a ruptured larynx due to attempted homicide, without injury to the vocal cords. The emergency doctor only used gauze to compress the neck rather than inserting a tracheal cannula through the opening immediately to maintain airway patency. Patient 1 had dyspnea at 1 point. Fortunately, Patient 2 had a stable neck wound did not bleed much, with few blocking blood clots. After performing a low tracheotomy in these 2 patients, the neck injury was repaired, gastric tubes were placed, and gastric enteral feeding diet was commenced. Both patients received anti-infection treatment and professional psychiatric therapy after surgery, and both recovered well. CONCLUSIONS Airway management is the critical first step, and the tracheal cannula should be inserted through the opening in the injured larynx for the first time to maintain airway patency; patients whose condition is unstable should undergo immediate surgical exploration, and those whose condition is stable without hard signs should undergo enhanced neck CT to assess the injury; prompt psychiatric care is also critical.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946414"},"PeriodicalIF":1.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A 20-Year-Old Woman with Metachronous Polyostotic Simple (Unicameral) Bone Cysts in 9 Sites: A Case Report.

IF 1

American Journal of Case Reports Pub Date : 2025-02-17 DOI: 10.12659/AJCR.946165

Nicole Liddy, Sten H Kajitani, John M Gross, Ying Zou, Brock Lindsey, Albert J Aboulafia

{"title":"A 20-Year-Old Woman with Metachronous Polyostotic Simple (Unicameral) Bone Cysts in 9 Sites: A Case Report.","authors":"Nicole Liddy, Sten H Kajitani, John M Gross, Ying Zou, Brock Lindsey, Albert J Aboulafia","doi":"10.12659/AJCR.946165","DOIUrl":"10.12659/AJCR.946165","url":null,"abstract":"BACKGROUND Simple (unicameral) bone cysts (SBCs) are benign, fluid-filled bone lesions that are typically solitary and can be unicameral (single chamber) or septated. Most commonly affecting the long bones of children and adolescents, SBCs can be asymptomatic or associated with pain or fractures. Multifocal SBCs, featuring multiple cysts across different bones, are exceptionally rare and pose unique diagnostic and therapeutic challenges. Here, we report an exceptional case of a 20-year-old woman with multifocal SBCs affecting 9 known anatomical sites and discuss the unique diagnostic and therapeutic challenges. CASE REPORT A 20-year-old woman presented with right proximal tibia pain after a fall. Radiographs and MRI revealed radiolucent lesions in the proximal tibia, distal tibia, and fibula, with additional lesions identified on whole-body scintigraphy in the left proximal and distal tibia, left proximal humerus, and pelvis. Initial biopsy was suggestive of SBCs but inconclusive, and surgical biopsy was required for definitive diagnosis. Histologic evaluation confirmed SBCs, demonstrating cyst walls, cholesterol clefts, and fibrin-like deposits. Treatment included curettage, local adjuvant therapy with argon beam and doxycycline, bone grafting, and doxycycline sclerotherapy for pelvic and distal extremity lesions. At 17 months after treatment, the patient remained asymptomatic, with imaging showing sclerosis and near-complete resolution of the lesions. CONCLUSIONS This report presented a rare case of a young woman with multiple SBCs across 9 anatomical sites. Overall, the management of multifocal SBCs requires a multidisciplinary approach, involving orthopedic surgeons, radiologists, and pathologists for optimal outcomes.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946165"},"PeriodicalIF":1.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Right Bundle Branch Block on ECG as a Predictor of Sudden Cardiac Arrest Due to Pulmonary Embolism.

IF 1

American Journal of Case Reports Pub Date : 2025-02-16 DOI: 10.12659/AJCR.946074

Chunliang Wang, Yuzhu Fan, Guiting Liang, Yu Chen, Ping Wang

{"title":"Right Bundle Branch Block on ECG as a Predictor of Sudden Cardiac Arrest Due to Pulmonary Embolism.","authors":"Chunliang Wang, Yuzhu Fan, Guiting Liang, Yu Chen, Ping Wang","doi":"10.12659/AJCR.946074","DOIUrl":"10.12659/AJCR.946074","url":null,"abstract":"BACKGROUND High-risk pulmonary embolism (PE) refers to a subset of massive PE that can lead to sudden cardiac arrest (SCA) or hemodynamic collapse. It is crucial to identify the clues that might precede high-risk PE in resuscitated SCA. The presence of right bundle branch block (RBBB) with a QR pattern in V1 on the electrocardiogram (ECG) has a high positive predictive value for diagnosing cardiac arrest caused by high-risk PE. Therefore, we present a case study of SCA caused by high-risk PE. CASE REPORT A 44-year-old woman with no medical history presented to the emergency room due to SCA. The first ECG showed sinus tachycardia and RBBB with a QR pattern in V1. The clinical manifestations, particularly the abnormal ECG findings, led to the consideration of high-risk PE. Urgent thrombolytic therapy was administered before confirmation with computed tomographic pulmonary angiogram (CTPA). The patient was eventually diagnosed with antiphospholipid antibody syndrome and treated with warfarin. CONCLUSIONS RBBB with a QR pattern in V1 on ECG has a high positive predictive value for the diagnosis of cardiac arrest caused by high-risk PE. Furthermore, the presence of a QR pattern in V1 performs as an independent predictor for high-risk PE patients who may require advanced treatments, including systemic thrombolysis or invasive embolectomy. It is worth further exploring the prioritization of thrombolysis for high-risk PE patients before confirmation with CTPA, when ECG findings strongly suggest the diagnosis.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946074"},"PeriodicalIF":1.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mesosigmoid Fossa Herniation: A Case of Jejunal Obstruction.

IF 1

American Journal of Case Reports Pub Date : 2025-02-15 DOI: 10.12659/AJCR.944817

Ippokratis Intzidis, Eleni Karlafti, Angeliki Vouchara, Xanthippi Mavropoulou, Elisavet Psoma, Nikoletta Pyrrou, Stavros Panidis, Aris Ioannidis, Anestis Karakatsanis, Daniel Paramythiotis

{"title":"Mesosigmoid Fossa Herniation: A Case of Jejunal Obstruction.","authors":"Ippokratis Intzidis, Eleni Karlafti, Angeliki Vouchara, Xanthippi Mavropoulou, Elisavet Psoma, Nikoletta Pyrrou, Stavros Panidis, Aris Ioannidis, Anestis Karakatsanis, Daniel Paramythiotis","doi":"10.12659/AJCR.944817","DOIUrl":"10.12659/AJCR.944817","url":null,"abstract":"BACKGROUND Internal hernias, a rare type of herniation, occur through deficits of peritoneum or mesentery/mesocolon. Herniation of the small intestine into the mesosigmoid fossa is an extraordinary situation. A possible diagnostic delay may lead to intestinal ischemia, perforation, or even necrosis. CASE REPORT A 47-year-old woman was admitted in our Emergency Department with a 24-hour colic pain that started at the epigastrium and then moved to the left pelvic region. Small-bowel obstruction due to internal herniation was diagnosed based on clinical, radiological, and laboratory examination results. We encountered a loop of jejunum that was herniated into the mesosigmoid fossa, making this a unique case, as in most such cases the internal herniated loops are loops of ileum. CONCLUSIONS The key role of computed tomography (CT) is highlighted and the characteristic sign of \"C-shaped cluster\" is mentioned in the literature for intersigmoid hernia. Although internal mesosigmoid hernia is rare, it should be always kept in mind when the patient's digestive tract is affected. Our main purpose here is to highlight this rare entity for our fellow surgeons.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e944817"},"PeriodicalIF":1.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corneal Ring Infiltrate Following Micropulse Cyclophotocoagulation.

IF 1

American Journal of Case Reports Pub Date : 2025-02-14 DOI: 10.12659/AJCR.945852

Deema E Jomar, Meznah H Alsanad, Nouf A AlZendi, Ahmed Al Saleh

{"title":"Corneal Ring Infiltrate Following Micropulse Cyclophotocoagulation.","authors":"Deema E Jomar, Meznah H Alsanad, Nouf A AlZendi, Ahmed Al Saleh","doi":"10.12659/AJCR.945852","DOIUrl":"10.12659/AJCR.945852","url":null,"abstract":"BACKGROUND We report a case of neurotrophic keratopathy (NK) following micropulse cyclophotocoagulation (MP-CPC), presenting as a ring infiltrate. We describe this clinical presentation after MP-CPC with diagnostic challenges. We provide an approach to how a proper diagnosis was reached and highlight the importance of preoperative assessment of corneal surface health in patients at risk. CASE REPORT A 36-year-old diabetic woman was referred to our cornea clinic for a new onset of a ring infiltrate in her right eye, after undergoing MP-CPC for an uncontrolled neovascular glaucoma. She had no pain or discharge, but was bothered by photophobia. After obtaining a proper medical history, best corrected visual acuity was 3/200 in the affected eye, corneal sensitivity was reduced, and slit lamp examination showed a large inferior corneal epithelial defect with a peripheral anterior stromal ring infiltrate. Corneal scrapings were obtained and differential diagnoses were excluded until a proper diagnosis of NK was reached. As conservative medical treatment with prophylactic antibiotics and frequent lubricating eye drops failed to achieve complete healing of the epithelial defect, amniotic membrane grafting was performed and resulted in complete healing with residual corneal scarring. CONCLUSIONS Neurotrophic keratopathy presenting as a corneal ring infiltrate can be confused with infectious keratitis and result in diagnostic challenges. As cases of NK after MP-CPC are more frequently reported, a routine preoperative assessment of corneal sensation is recommended, especially in patients at risk, such as diabetics. Preoperative counselling, customized treatment protocols such as shortening the treatment time, and close monitoring of postoperative ocular surface health should be implemented following MP-CPC to prevent the occurrence of serious ocular complications such as corneal scarring, melting, or perforation.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e945852"},"PeriodicalIF":1.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retracted: Cowden Syndrome and Oral Lesions: A Case Report Using MLPA.

IF 1

American Journal of Case Reports Pub Date : 2025-02-14 DOI: 10.12659/AJCR.948495

Mariana Cristina Barrón-Márquez, Rogelio González-González, Lucina Bobadilla-Morales, Victor Ulises Rodriguez-Machuca, Ronell Bologna-Molina, Nelly Molina-Frechero, Omar Alejandro Tremillo-Maldonado, Sandra López-Verdín

引用次数: 0

A 37-Year-Old Man with Multifocal Bilateral Malignant Testicular Large-Cell Calcifying Sertoli Cell Tumors Presenting as Painless Testicular Masses.

IF 1

American Journal of Case Reports Pub Date : 2025-02-13 DOI: 10.12659/AJCR.945910

Lukas Dohmen, Mélissa Pani, Pierre Marchettini, François Devos

{"title":"A 37-Year-Old Man with Multifocal Bilateral Malignant Testicular Large-Cell Calcifying Sertoli Cell Tumors Presenting as Painless Testicular Masses.","authors":"Lukas Dohmen, Mélissa Pani, Pierre Marchettini, François Devos","doi":"10.12659/AJCR.945910","DOIUrl":"10.12659/AJCR.945910","url":null,"abstract":"BACKGROUND Large-cell calcifying Sertoli cell tumor (LCCSCT) belongs to the category of sex cord stromal tumors and is extremely rare. Testicular LCCSCTs show benign or malignant behavior, appear sporadically, or are associated with genetic syndromes. Benign LCCSCTs are more commonly bilateral and multifocal and present in younger patients. The prognosis is poor when patients have advanced or metastatic disease. However, due to its rarity, the literature provides only weak evidence concerning their clinical course and treatment options. This report describes a 37-year-old man suffering from a multifocal, bilateral malignant testicular LCCSCT presenting as painless testicular masses. CASE REPORT A 37-year-old man presented with bilateral painless testicular masses. Imagery showed bilateral macro-orchitis with multifocal intratesticular hyperechoic and hypointense lesions. He underwent testis-sparing surgery with the enucleation of 1 testicular lesion. The anatomopathological analysis revealed an LCCSCT whose histological characteristics indicated a benign tumor. A simple follow-up was therefore recommended. Six years after diagnosis, the patient developed lymph node metastases, and radical bilateral orchiectomy and radical lymphadenectomy were performed. A few months later, pleural, pulmonary, and bone metastases occurred. Chemotherapy and immunotherapy did not control the disease. The patient died 7 years after the initial diagnosis. CONCLUSIONS This case highlights the importance of the histopathology diagnosis in cases of testicular masses, and that sporadic, multifocal, and bilateral LCCSCTs present in younger men can be malignant despite the benign characteristics of the primary tumor.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e945910"},"PeriodicalIF":1.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Varicella Zoster Virus-Induced Retinitis and Retinal Detachment in an Immunocompetent Patient: A Case Report.

IF 1

American Journal of Case Reports Pub Date : 2025-02-12 DOI: 10.12659/AJCR.946011

Agnieszka Kamińska, Olga Adamska, Grzegorz Sosnowski, Anna Pierzak, Roksana Zdunek, Maciej Kamiński, Mateusz Jankowski

{"title":"Varicella Zoster Virus-Induced Retinitis and Retinal Detachment in an Immunocompetent Patient: A Case Report.","authors":"Agnieszka Kamińska, Olga Adamska, Grzegorz Sosnowski, Anna Pierzak, Roksana Zdunek, Maciej Kamiński, Mateusz Jankowski","doi":"10.12659/AJCR.946011","DOIUrl":"10.12659/AJCR.946011","url":null,"abstract":"BACKGROUND Necrotizing herpetic retinopathies associated with varicella zoster virus (VZV) occurs sporadically and typically presents with acute retinal necrosis (ARN) features. This report presents an incident of ARN in an immunocompetent patient who was referred to the hospital for acute vision loss. CASE REPORT A 56-year-old previously healthy man presented to the Emergency Department with acute vision loss in his left eye. Four weeks before admission, he had an upper respiratory tract infection and received a diagnosis of VZV infection, based on skin examination and medical history. On ophthalmological examination in our hospital, the left eye showed exudative retinal detachment with necrotizing retinitis and profound uveitis. Blood tests for infectious diseases and opportunistic infections were performed. Intravenous antiviral treatment was started empirically, due to high suspicion of ARN. Five days after presentation, vision deterioration necessitated pars plana vitrectomy (PPV). Surgical procedure included retinectomy, endolaser photocoagulation, and high-viscosity silicone oil tamponade. One week after PPV, the patient's best corrected visual acuity measured with the Snellen chart was 0.25. Three weeks later, best corrected visual acuity was 0.16. Three months later, dilated fundus examination indicated an attached retina and emulsified silicone oil. CONCLUSIONS This case report highlights VZV retinitis severity and emphasizes the importance of considering VZV retinitis in the differential diagnosis of progressive outer retinal necrosis, also in immunocompetent patients. The complications of the disease's course should raise awareness about the need for prophylactic vaccination against VZV. When the course of the disease develops to retinal detachment, the decision of vitrectomy should not be postponed.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946011"},"PeriodicalIF":1.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minimally Invasive Management of Infantile Dacryocystitis with Lacrimal Abscess: A Case Report.

IF 1

American Journal of Case Reports Pub Date : 2025-02-11 DOI: 10.12659/AJCR.946588

Fan Li, Xiaowei Zhu, Zhe Zhu, Naiyang Li

{"title":"Minimally Invasive Management of Infantile Dacryocystitis with Lacrimal Abscess: A Case Report.","authors":"Fan Li, Xiaowei Zhu, Zhe Zhu, Naiyang Li","doi":"10.12659/AJCR.946588","DOIUrl":"10.12659/AJCR.946588","url":null,"abstract":"BACKGROUND Infantile acute dacryocystitis is due to congenital nasolacrimal duct obstruction (NLDO) in newborns and infants, which involves acute bacterial infection of the lacrimal sac. This report describes a 37-day-old male infant with acute dacryocystitis and lacrimal abscess managed with a modified decompression and nasolacrimal duct probing. CASE REPORT We report the case of a 37-day-old male infant who presented with acute dacryocystitis complicated by a giant lacrimal abscess. On day 30 of life, his parent brought him to a local clinic due to inferior eyelid edema and hyperemia. He was diagnosed with acute dacryocystitis and was treated with tobramycin eye drops and ointment. However, severe erythema, swelling, and tenderness over the lacrimal sac area persisted. The parent refused a head CT, ultrasound examination, and systemic antibiotics, and brought the infant to our emergency unit for a second opinion on day 37 of life. A modified decompression and probing approach was employed, which involved gentle decompression of the abscess to relieve tension, followed by probing of the nasolacrimal duct to restore proper drainage. After a repeat decompression and probing procedure, the dacryocystitis and giant lacrimal abscess disappeared gradually, with good esthetic results. The infant responded well to the treatment, with resolution of symptoms and no recurrence of the abscess during follow-up. CONCLUSIONS This case demonstrates that our modified decompression and probing approach provides a practical and an alternate option to treat acute dacryocystitis in infants complicated by a giant lacrimal abscess.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946588"},"PeriodicalIF":1.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0