Orbital inflammatory disease in a child caused by a ruptured dermoid cyst misdiagnosed as orbital cellulitis

Year 2021, Volume: 34 Issue: 3, 348 - 350, 27.10.2021

Hayrunnisa Bekıs Bozkurt Hulya Gokmen Soysal

https://doi.org/10.5472/marumj.1013321

Abstract

One of the most common orbital tumors in childhood is orbital dermoid cysts. Cyst rupture or leakage of the cyst content is one of the
rare causes of orbital inflammations and needs to be caught early. A five and a half year old boy was referred to us with the diagnosis
of orbital cellulitis resistant to antibiotic therapy. Regarding his detailed medical history, physical examination and laboratory tests
findings, he was diagnosed as orbital inflammatory disease caused by dermoid cyst rupture. He underwent surgical excision of the
cyst after the inflammation was resolved with a short course of anti-inflammatory treatment. Although, it is rare, dermoid cyst
rupture is one of the important causes of orbital inflammatory diseases and it must be kept in mind in the differential diagnosis of
orbital infections. A detailed history and a careful examination helped us to make the correct diagnosis and avoided diagnostic delay
and unnecessary treatment.

Keywords

Inflammation, Dermoid cyst, Child, Orbital cellulitis

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