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Eosinophilic granuloma: Presenting as a draining fistula
Apjit Kaur1, B K Ojha, Vishal Jaiswal
1Oculoplasty Clinic, Department of Ophthalmology, Chhatrapati Shahuji Maharaj Medical University (Upgraded King George's Medical University), Lucknow, India.
Summary
This case report details an unusual presentation of orbital eosinophilic granuloma in a teenager, manifesting as a fistula. This rare orbital tumor required surgical excision and confirmed the diagnosis through histopathology.
Area of Science:
- Ophthalmology
- Pathology
- Pediatric Surgery
Background:
- Eosinophilic granuloma is a rare benign proliferative disorder.
- Orbital involvement of eosinophilic granuloma can occur but is uncommon.
- Presentation as a fistula is an exceptionally rare manifestation.
Purpose of the Study:
- To report a unique case of orbital eosinophilic granuloma presenting as a fistula.
- To highlight the diagnostic and management challenges of this rare condition.
- To contribute to the literature on orbital eosinophilic granuloma presentations.
Main Methods:
- A case report of a 15-year-old male patient.
- Clinical presentation, imaging (CT scan), fine needle aspiration biopsy, and surgical excision.
- Histopathological examination for definitive diagnosis.
Main Results:
- A large soft tissue lesion in the superolateral orbit with intracranial extradural extension and bony destruction was identified.
- Fine needle aspiration biopsy confirmed eosinophilic granuloma.
- Complete excision via a brow incision was successful, with histopathology confirming the diagnosis.
Conclusions:
- Orbital eosinophilic granuloma can present unusually, such as with a fistula.
- Prompt diagnosis and complete surgical excision are crucial for management.
- This case expands the known spectrum of orbital eosinophilic granuloma presentations.
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