CONGENITAL DACRYOCYSTOCELE IN PRENATAL EXAMINATION -- A CASE REPORT

產前診斷先天性淚腺黏液囊腫－－病例報告

劉春甫(Chun-Fu, Liu) ； 朱學彥(Hsueh-Yen Chu) ； 闕河晏(Ho-Yen Chueh) ； 孫啟欽(Chi-Chin Sun) ； 楊孟玲(Meng-Ling Yang)

《中華民國眼科醫學會雜誌》 53卷2期 (2014/10) Pp. 142-145

https://doi.org/10.30048/ACTASOS.201410_53(2).0007

摘要

目的：報告一位產前診斷先天性淚腺黏液囊腫之病例。方法：病例報告。結果：一位二十六歲女性病患在本院定期產檢，於三十二周產檢時，經由產科超音波發現眼眶附近有異常腫塊，遂安排核磁共振檢查，該檢查發現右眼眼眶有一顆約1.3公分大的腫塊，且合併鼻腔侵犯。於妊娠第四十周時，該病患生下一名3540公克之小男嬰。出生時，小男嬰右眼紅、腫併分泌物增加，診斷為先天性黏液囊腫合併淚囊炎，經保守抗生素治療後，紅腫逐漸消退且成功康復。結論：產前超音波檢查對先天性淚囊黏液囊腫已有許多病例被報告，然而產前核磁共振照影有助於幫助此病之診斷並找出其他胎兒異常的狀況。我們報告一位以此方法診斷之先天性黏液囊腫病患，經注射抗生素治療後，成功復原的經驗。

並列摘要

Purpose: To report a rare case of congenital dacryocystocele diagnosed with prenatal ultrasound and magnetic resonance imaging. Methods: Retrospective case report. Results: A 26-year-old female received regular prenatal examinations in our obstetrics and gynecology departments. At 32 weeks of gestation, orbital anomaly of the fetus was noted on the ultrasound. Magnetic resonance imaging of the fetus showed a 13mm x 14mm x 13 mm ovoid cystic lesion over the right inferior anterior medial orbit, with a tail extending to the right nasal cavity. A full term male baby was born at 40 weeks of gestation with a birth body weight of 3540 grams. At birth, right eyelid swelling with redness and discharge were observed, suggesting right dacrocystocele with dacryocystitis. The right eye redness and swelling gradually subsided after conservative treatment. Conclusion: Dacrylcystocele detected by prenatal ultrasound has been reported in a considerable number of cases. Magnetic resonance imaging can be a useful ancillary modality to help diagnose dacryocystocele and other fetal anomalies.

並列關鍵字

Congenital dacryocystocele ； Dacryocystocele ； Prenatal magnetic resonance imaging ； prenatal ultrasound