Frontal mucocele masked as upper lid abcess-a case report
Frontal mucocele is not commonly masked as upper lid abscess.A 72-year-old Chinese man with underlying hyperthyroidism complained of left upper eyelid swelling of 6 months duration. The swelling had persisted and worsen when intravenous antibiotic was changed oral type. Visual acuity on presentation...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Faculty of Medicine, UKM Medical Centre
2016
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| Online Access: | http://journalarticle.ukm.my/9835/1/9.Ng_WL_et_al..pdf |
| _version_ | 1796931071235850240 |
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| author | Ng, WL Umi Kalthum Md Noh, Jemaima Che Hamzah, Norshamsiah MD, |
| author_facet | Ng, WL Umi Kalthum Md Noh, Jemaima Che Hamzah, Norshamsiah MD, |
| author_sort | Ng, WL |
| collection | UKM |
| description | Frontal mucocele is not commonly masked as upper lid abscess.A 72-year-old Chinese man with underlying hyperthyroidism complained of left upper eyelid swelling of 6 months duration. The swelling had persisted and worsen when intravenous antibiotic was changed oral type. Visual acuity on presentation was hand motion and reverse relative afferent pupillary defect was present. Because the swelling was large and resulted in mechanical ptosis and ophthalmoplegia, a CT imaging was performed, which showed huge left frontal mucocele eroding the supereromedial orbital rim. The left globe was displaced inferolaterally but there was no extension into brain parenchyma. Fundus examination showed pale optic disc with dull macula. Old laser marks were seen at peripheral fundus. Referral to ortholaryngologist was made and endoscopic sinus surgery and evacuation of mucopyocoele was done. Culture and sensitivity of the fluid showed no organism. He recovered well postoperatively with additional two weeks of antibiotics. We highlight the necessity of surgical drainage of mucocele, following a course of antibiotic. |
| first_indexed | 2024-03-06T04:12:43Z |
| format | Article |
| id | ukm.eprints-9835 |
| institution | Universiti Kebangsaan Malaysia |
| language | English |
| last_indexed | 2024-03-06T04:12:43Z |
| publishDate | 2016 |
| publisher | Faculty of Medicine, UKM Medical Centre |
| record_format | dspace |
| spelling | ukm.eprints-98352016-12-14T06:50:59Z http://journalarticle.ukm.my/9835/ Frontal mucocele masked as upper lid abcess-a case report Ng, WL Umi Kalthum Md Noh, Jemaima Che Hamzah, Norshamsiah MD, Frontal mucocele is not commonly masked as upper lid abscess.A 72-year-old Chinese man with underlying hyperthyroidism complained of left upper eyelid swelling of 6 months duration. The swelling had persisted and worsen when intravenous antibiotic was changed oral type. Visual acuity on presentation was hand motion and reverse relative afferent pupillary defect was present. Because the swelling was large and resulted in mechanical ptosis and ophthalmoplegia, a CT imaging was performed, which showed huge left frontal mucocele eroding the supereromedial orbital rim. The left globe was displaced inferolaterally but there was no extension into brain parenchyma. Fundus examination showed pale optic disc with dull macula. Old laser marks were seen at peripheral fundus. Referral to ortholaryngologist was made and endoscopic sinus surgery and evacuation of mucopyocoele was done. Culture and sensitivity of the fluid showed no organism. He recovered well postoperatively with additional two weeks of antibiotics. We highlight the necessity of surgical drainage of mucocele, following a course of antibiotic. Faculty of Medicine, UKM Medical Centre 2016 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9835/1/9.Ng_WL_et_al..pdf Ng, WL and Umi Kalthum Md Noh, and Jemaima Che Hamzah, and Norshamsiah MD, (2016) Frontal mucocele masked as upper lid abcess-a case report. Journal of Surgical Academia, 6 (1). pp. 43-45. ISSN 2231-7481 http://jsurgacad.com/toc/6/1 |
| spellingShingle | Ng, WL Umi Kalthum Md Noh, Jemaima Che Hamzah, Norshamsiah MD, Frontal mucocele masked as upper lid abcess-a case report |
| title | Frontal mucocele masked as upper lid abcess-a case report |
| title_full | Frontal mucocele masked as upper lid abcess-a case report |
| title_fullStr | Frontal mucocele masked as upper lid abcess-a case report |
| title_full_unstemmed | Frontal mucocele masked as upper lid abcess-a case report |
| title_short | Frontal mucocele masked as upper lid abcess-a case report |
| title_sort | frontal mucocele masked as upper lid abcess a case report |
| url | http://journalarticle.ukm.my/9835/1/9.Ng_WL_et_al..pdf |
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