Hematic Pseudocyst Masquerading as Orbital Cellulitis and Sinusitis
Hematic pseudocysts are fibrous, nonepithelial lined capsules containing blood byproducts that typically present remotely following orbital fracture hardware implantation. Trauma, implant migration, and tissue erosion are believed to cause hemorrhage to pool within the capsular space. Risk factors i...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2022-04-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/523890 |
| _version_ | 1811305790652284928 |
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| author | Ryan Larochelle Alexandra Levitt Sophie Liao |
| author_facet | Ryan Larochelle Alexandra Levitt Sophie Liao |
| author_sort | Ryan Larochelle |
| collection | DOAJ |
| description | Hematic pseudocysts are fibrous, nonepithelial lined capsules containing blood byproducts that typically present remotely following orbital fracture hardware implantation. Trauma, implant migration, and tissue erosion are believed to cause hemorrhage to pool within the capsular space. Risk factors include inadequate posterior fracture reduction and use of nonporous material which prevents fibrovascular ingrowth and stabilization. Mass effect from these lesions may cause patients to present with pain, lid swelling, hyperglobus, proptosis, lid retraction, motility restriction, or blurry vision. Pseudocysts associated with fracture hardware have been misdiagnosed as tumors or in one prior case as an infection. Herein we report a unique case of hematic pseudocyst masquerading as orbital cellulitis with maxillary sinusitis. A 59-year-old man presented with periorbital pain, hyperglobus, proptosis, and ptosis 2 years after repair of an orbital floor fracture. CT demonstrated a soft tissue collection adjacent to an implant as well as maxillary sinus opacification. He did not improve with antibiotics, at which point surgery revealed a pseudocyst and its contents were removed. This report describes a unique presentation of orbital pseudocyst and summarizes the literature on this entity. |
| first_indexed | 2024-04-13T08:32:41Z |
| format | Article |
| id | doaj.art-c467da27981b4bb092441b1042f5df93 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-04-13T08:32:41Z |
| publishDate | 2022-04-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-c467da27981b4bb092441b1042f5df932022-12-22T02:54:12ZengKarger PublishersCase Reports in Ophthalmology1663-26992022-04-0113126526910.1159/000523890523890Hematic Pseudocyst Masquerading as Orbital Cellulitis and SinusitisRyan LarochelleAlexandra LevittSophie Liaohttps://orcid.org/0000-0002-0847-5209Hematic pseudocysts are fibrous, nonepithelial lined capsules containing blood byproducts that typically present remotely following orbital fracture hardware implantation. Trauma, implant migration, and tissue erosion are believed to cause hemorrhage to pool within the capsular space. Risk factors include inadequate posterior fracture reduction and use of nonporous material which prevents fibrovascular ingrowth and stabilization. Mass effect from these lesions may cause patients to present with pain, lid swelling, hyperglobus, proptosis, lid retraction, motility restriction, or blurry vision. Pseudocysts associated with fracture hardware have been misdiagnosed as tumors or in one prior case as an infection. Herein we report a unique case of hematic pseudocyst masquerading as orbital cellulitis with maxillary sinusitis. A 59-year-old man presented with periorbital pain, hyperglobus, proptosis, and ptosis 2 years after repair of an orbital floor fracture. CT demonstrated a soft tissue collection adjacent to an implant as well as maxillary sinus opacification. He did not improve with antibiotics, at which point surgery revealed a pseudocyst and its contents were removed. This report describes a unique presentation of orbital pseudocyst and summarizes the literature on this entity.https://www.karger.com/Article/FullText/523890pseudocysthematic cystorbital fracturehardware |
| spellingShingle | Ryan Larochelle Alexandra Levitt Sophie Liao Hematic Pseudocyst Masquerading as Orbital Cellulitis and Sinusitis Case Reports in Ophthalmology pseudocyst hematic cyst orbital fracture hardware |
| title | Hematic Pseudocyst Masquerading as Orbital Cellulitis and Sinusitis |
| title_full | Hematic Pseudocyst Masquerading as Orbital Cellulitis and Sinusitis |
| title_fullStr | Hematic Pseudocyst Masquerading as Orbital Cellulitis and Sinusitis |
| title_full_unstemmed | Hematic Pseudocyst Masquerading as Orbital Cellulitis and Sinusitis |
| title_short | Hematic Pseudocyst Masquerading as Orbital Cellulitis and Sinusitis |
| title_sort | hematic pseudocyst masquerading as orbital cellulitis and sinusitis |
| topic | pseudocyst hematic cyst orbital fracture hardware |
| url | https://www.karger.com/Article/FullText/523890 |
| work_keys_str_mv | AT ryanlarochelle hematicpseudocystmasqueradingasorbitalcellulitisandsinusitis AT alexandralevitt hematicpseudocystmasqueradingasorbitalcellulitisandsinusitis AT sophieliao hematicpseudocystmasqueradingasorbitalcellulitisandsinusitis |