Ethmoidal pneumocele following drainage of an ethmoidal mucocele.
Ethmoidal pneumocele is a rare condition with little known about its etiology. We report a 5-year-old boy who had recurrent right orbital cellulitis, non-axial proptosis, and inferolateral globe displacement. Initial radiological investigations demonstrated an ethmoidal mucocele. There was complete resolution of inflammatory signs with endoscopic drainage of the mucocele; however, repeat CT revealed a residual pneumocele with continued proptosis and lateral displacement of the globe. This case illustrates the potential for chronic sinusitis and iatrogenic drainage of an ethmoidal mucocele to progress to a pneumocele.
Department of Ophthalmology and Visual Sciences and South Australian Institute of Ophthalmology, University of Adelaide, Adelaide, Australia. gupta aanchal@yahoo.com.au
Aanchal
A
Gupta
Shane R
SR
Durkin
James S
JS
Muecke
Robert J
RJ
Casson
Peter-John
PJ
Wormald
Dinesh
D
Selva
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002675:Child, Preschool; D004322:Drainage / Q000009:adverse effects; D004646:Emphysema / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005005:Ethmoid Sinus; D015521:Ethmoid Sinusitis / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009078:Mucocele / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents