Related Experiment Video
Updated: Feb 3, 2026
07:27
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
25.2K
Congenital bilateral dacryocystocele
Pedro Carneiro de Sousa1, Marta Neves1, Delfim Duarte1
1Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos Otorhinolaryngology, Travessa do Padre Amaro, number 169/229, Matosinhos 4455-033, Portugal.
European Annals of Otorhinolaryngology, Head and Neck Diseases
|October 20, 2018
Summary
Congenital bilateral dacryocystocele, a rare condition, can cause neonatal respiratory distress in newborns. Conservative treatment led to spontaneous resolution of symptoms in a case report.
Area of Science:
- Neonatal Medicine
- Ophthalmology
- Otorhinolaryngology
Background:
- Newborns are obligate nasal breathers, making nasal obstruction a critical issue.
- Nasal obstruction in neonates can rapidly lead to cyanosis and hypoxemia.
- Congenital bilateral dacryocystocele is an uncommon but significant cause of neonatal respiratory distress.
Observation:
- A male neonate presented with severe respiratory distress.
- Physical examination revealed bilateral, polypoid, bluish nasal masses obstructing the inferior meatus.
- Imaging studies confirmed the presence of bilateral dacryocystocele.
Findings:
- The neonate's respiratory distress resolved following conservative management.
- Spontaneous drainage of the dacryocystocele occurred, alleviating the obstruction.
- Diagnosis of congenital dacryocystocele is primarily clinical, supported by imaging.
Implications:
- Congenital dacryocystocele should be considered in the differential diagnosis of neonatal respiratory distress.
- While treatment is debated, conservative management can be effective.
- Surgical intervention is reserved for cases with persistent respiratory obstruction unresponsive to conservative measures.
