2018 CSO General Scientific Program

“Incidental lacrimal duct choristoma in the setting of acute on chronic sinusitis: A rare case report”

Connor Holmes, Anil Sharma

Abstract

 

 

Incidental lacrimal duct choristoma in the setting of acute on chronic sinusitis: A rare case report

 

 

Objective:

 

To present the first reported case of an incidental lacrimal duct choristoma in the setting of acute on chronic sinusitis with presumed orbital involvement

 

Background:

 

Choristomas are benign masses comprised of histologically normal tissue located at abnormal sites likely due to aberrant implantation of embryonic cells. Only a handful of cases of lacrimal duct choristomas have been reported in the literature.

 

Clinical Case:

 

12-year-old boy presents with orbital proptosis in the context of acute on chronic sinusitis. Attempted intra-operative drainage incidentally revealed an orbital tumor.

 

Conclusion:

 

In the context of presumed orbital complications of acute on chronic sinusitis, orbital tumors must be considered. All sinus cases involving the orbit require ophthalmology consultant to ensure appropriate diagnostic and surgical management for these patients.

Learning Objectives

  1. In the context of sinusitis, readers will understand when it is appropriate to consider orbital tumors in their differential.
  2. Readers will be be able to explain the rational for an ophthalmologic consult when managing sinus cases with presumed orbital involvement.
  3. Readers will be able to define choristoma and describe possible presentations of these rare tumors within the scope of otolaryngology.

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Scheduling Details

Posters can be seen in the Gray/Palmer/Pope Ballroom. This room will be open on Sunday, June 12 from 09:00 to 17:00, and on Monday, June 13 from 09:00 to 16:00.

Authors' Contact Details

Corresponding Author: Mr. Connor Holmes

Senior Author: Dr. Anil Sharma

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