Angioleiomyoma Masquerading as a lacrimal sac swelling
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Updated: Nov 7, 2026

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Published on: May 26, 2023
Lavanya Maddi1, Saumya Jakati2, Mohammad Javed Ali1
1Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, 500034, India.
Purpose:
To describe a rare case of angioleiomyoma masquerading as lacrimal sac swelling.
Observations:
A 41-year-old male presented with swelling below the right eye of one month's duration. Examination revealed a firm swelling inferomedial to the medial canthus with a corresponding isodense lesion on computed tomography imaging. The lacrimal drainage system was patent in both eyes. Exploration and excision biopsy were performed. Histopathological and immunohistochemical examinations were consistent with the diagnosis of Angioleiomyoma.
Conclusion:
This case emphasizes the importance of considering angioleiomyoma in the differential diagnosis of masqueraders of lacrimal sac lesions.
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