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

Authors : Hayrunnisa Bekis Bozkurt, Hulya Gokmen Soysal

Pages : 348-350

Doi:10.5472/marumj.1013321

View : 26 | Download : 12

Publication Date : 2021-10-27

Article Type : Other

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