International Ophthalmology

, Volume 29, Issue 1, pp 57–60 | Cite as

Pyogenic granuloma of the lacrimal sac

  • Bülent Yazıcı
  • Ayşe Tör Ayvaz
  • Sibel Aker
Case Report


In this report, we describe three adult patients diagnosed with lacrimal sac pyogenic granuloma. The presenting symptoms were acute dacryocystitis, lacrimal mass, and bloody tears. The nasolacrimal drainage pathway was obstructed in all cases. Radiologic evaluation performed in one patient revealed the presence of a well-defined mass in the sac with homogenous contrast uptake. Histopathologic examination revealed capillary proliferation and inflammatory cells in a fibromyxoid stroma. The patients were followed up for 11–23 months after external dacryocystorhinostomy without recurrence of the tumor or nasolacrimal obstruction. Pyogenic granuloma may develop from the lacrimal sac mucosa and may cause bloody epiphora. Such a tumor is visualized as a hemorrhagic mass lesion, and it may not have a negative effect on the outcome of DCR.


Lacrimal sac Pyogenic granuloma Dacryocystorhinostomy 


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Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • Bülent Yazıcı
    • 1
  • Ayşe Tör Ayvaz
    • 1
  • Sibel Aker
    • 2
  1. 1.Department of OphthalmologyUludağ University Faculty of MedicineBursaTurkey
  2. 2.Department of PathologyUludağ University Faculty of MedicineBursaTurkey

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