Resumen

CORDOVA MOLINA, Eduardo Fabián; GORDILLO ARIAS, Ángel Daniel  y  ZUNIGA VITERI, Roberto Carlos. Fournier's gangrene in a male patient with insulin-dependent diabetes mellitus: case report. Rev Ciencias Médicas [online]. 2023, vol.27, suppl.1  Epub 01-Jul-2023. ISSN 1561-3194.

ABSTRACT Introduction: congenital dacryocele is a rare entity due to nasolacrimal duct obstruction. Case report: female neonate, 17 days old, born after euthyroid delivery, at term, with no significant prenatal history. She presented with swelling of the right eye since birth, abundant conjunctival secretions and conjunctival hyperemia. Physical examination revealed the presence of an 8 mm diameter tumor in the area of the right lacrimal sac, not painful to palpation, bluish color. Complementary images such as ultrasound were indicated. The diagnosis of congenital dacryocele was determined. Non surgical treatment was decided. Warm compresses were indicated in the area of the affected lacrimal sac for five minutes, three times a day. It was decided to apply antibiotic therapy with tobramycin + dexamethasone in eye drops, one drop every four hours for 10 days. At the end of the treatment, the patient showed improvement, without the need of further interventions. Follow-up by ophthalmology was indicated. Conclusions: congenital dacryocele is a congenital entity of the lacrimal ducts of low incidence. Its diagnosis is clinical; however, imaging tests are necessary to rule out other entities. Conservative medical treatment may lead to resolution of the entity, with massage and antimicrobial therapy being useful; however, surgical intervention may be required.

Palabras clave : LACRIMAL DUCT OBSTRUCTION; INFANT, NEWBORN; CONGENITAL; SURGICAL PROCEDURES, OPERATIVE..

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