Decrease in visual acute, hypertellorism, and exophthalms due to bilateral piomucocele

Background: The Piomucocele is the infection of a pre-existing mucocele. We present a 22-year-old man with decreased visual acuity, hypertelorism,andexophthalmos.Hepresentedinferolateral proptosis and visual acuity 20/80 on the left side. No history of trauma, infection, polyps, or surgery. CTscan w...

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Autores: Vergara-de la Rosa, Esteban, Galvez-Olortegui, Tomas, Galvez-Olortegui, José
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2021
País:Perú
Recursos:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Repositório:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Idioma:espanhol
OAI Identifier:oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/1279
Acesso em linha:https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1279
Access Level:Acceso aberto
Palavra-chave:Hipertelorismo
Agudeza visual
Exoftalmia
Mucocele
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spelling Decrease in visual acute, hypertellorism, and exophthalms due to bilateral piomucoceleDisminución de agudeza visual, hipertelorismo y exoftalmos debido a piomucocele bilateralVergara-de la Rosa, EstebanGalvez-Olortegui, TomasGalvez-Olortegui, JoséHipertelorismoAgudeza visualExoftalmiaMucoceleBackground: The Piomucocele is the infection of a pre-existing mucocele. We present a 22-year-old man with decreased visual acuity, hypertelorism,andexophthalmos.Hepresentedinferolateral proptosis and visual acuity 20/80 on the left side. No history of trauma, infection, polyps, or surgery. CTscan with images suggestive of bilateral mucocele with anterior orbital compression effect on the right side and posterior on the left side. The compressive effect of the ethmoidal and sphenoid pyomukocele on the left side produced compromise of the optic canal with decreased ipsilateral visual acuity. Endoscopic sinonasal surgery was performed with marsupialization and decompression,findingtwowell-definedanteroposterior pyomukoceles on the right side and one left pyomukocele. The evolution was favorable. This unusual presentation forces us to consider unsuspected ocular involvement, mainly in pyomukoceles that involve posterior paranasal sinuses.Introducción: El Piomucocele es la infección de un mucocele pre existente. Presentamos un varón de 22 años con disminución de agudeza visual, hipertelorismo y exolftamos. Presentó proptosis inferolateral y agudeza visual 20/80 en el lado izquierdo. Sin antecedente de traumatismo, infecciones, pólipos o cirugías. TAC con imágenes sugestivas de mucocele bilateral con efecto compresivo orbital anterior en el lado derecho y posterior en el lado izquierdo. El efecto compresivo del piomucocele etmoidal y esfenoidal en el lado izquierdo produjo compromiso del canal óptico con disminución de la agudeza visual ipsilateral. Se realizó cirugía endoscópica nasosinusal con marsupialización y descompresión, encontrándose dos piomucoceles en dirección antero posterior bien delimitados en lado derecho y un piomucocele izquierdo. La evolución fue favorable. Ésta inusual presentación obliga a considerar el compromiso ocular insospechado, principalmente en piomucoceles que comprometan senos paranasales posteriores.Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo2021-12-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/127910.35434/rcmhnaaa.2021.143.1279Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 14 No. 3 (2021): July - September; 390 - 393Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 14 Núm. 3 (2021): Julio - Setiembre; 390 - 3932227-47312225-510910.35434/rcmhnaaa.2021.143reponame:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjoinstname:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjoinstacron:HNAAAspahttps://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1279/514Derechos de autor 2022 Esteban Vergara-de la Rosa, Tomas Galvez-Olortegui, José Galvez-Olorteguihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/12792022-02-02T18:46:57Z
dc.title.none.fl_str_mv Decrease in visual acute, hypertellorism, and exophthalms due to bilateral piomucocele
Disminución de agudeza visual, hipertelorismo y exoftalmos debido a piomucocele bilateral
title Decrease in visual acute, hypertellorism, and exophthalms due to bilateral piomucocele
spellingShingle Decrease in visual acute, hypertellorism, and exophthalms due to bilateral piomucocele
Vergara-de la Rosa, Esteban
Hipertelorismo
Agudeza visual
Exoftalmia
Mucocele
title_short Decrease in visual acute, hypertellorism, and exophthalms due to bilateral piomucocele
title_full Decrease in visual acute, hypertellorism, and exophthalms due to bilateral piomucocele
title_fullStr Decrease in visual acute, hypertellorism, and exophthalms due to bilateral piomucocele
title_full_unstemmed Decrease in visual acute, hypertellorism, and exophthalms due to bilateral piomucocele
title_sort Decrease in visual acute, hypertellorism, and exophthalms due to bilateral piomucocele
dc.creator.none.fl_str_mv Vergara-de la Rosa, Esteban
Galvez-Olortegui, Tomas
Galvez-Olortegui, José
author Vergara-de la Rosa, Esteban
author_facet Vergara-de la Rosa, Esteban
Galvez-Olortegui, Tomas
Galvez-Olortegui, José
author_role author
author2 Galvez-Olortegui, Tomas
Galvez-Olortegui, José
author2_role author
author
dc.subject.none.fl_str_mv Hipertelorismo
Agudeza visual
Exoftalmia
Mucocele
topic Hipertelorismo
Agudeza visual
Exoftalmia
Mucocele
description Background: The Piomucocele is the infection of a pre-existing mucocele. We present a 22-year-old man with decreased visual acuity, hypertelorism,andexophthalmos.Hepresentedinferolateral proptosis and visual acuity 20/80 on the left side. No history of trauma, infection, polyps, or surgery. CTscan with images suggestive of bilateral mucocele with anterior orbital compression effect on the right side and posterior on the left side. The compressive effect of the ethmoidal and sphenoid pyomukocele on the left side produced compromise of the optic canal with decreased ipsilateral visual acuity. Endoscopic sinonasal surgery was performed with marsupialization and decompression,findingtwowell-definedanteroposterior pyomukoceles on the right side and one left pyomukocele. The evolution was favorable. This unusual presentation forces us to consider unsuspected ocular involvement, mainly in pyomukoceles that involve posterior paranasal sinuses.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-14
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1279
10.35434/rcmhnaaa.2021.143.1279
url https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1279
identifier_str_mv 10.35434/rcmhnaaa.2021.143.1279
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1279/514
dc.rights.none.fl_str_mv Derechos de autor 2022 Esteban Vergara-de la Rosa, Tomas Galvez-Olortegui, José Galvez-Olortegui
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 2022 Esteban Vergara-de la Rosa, Tomas Galvez-Olortegui, José Galvez-Olortegui
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo
publisher.none.fl_str_mv Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo
dc.source.none.fl_str_mv Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 14 No. 3 (2021): July - September; 390 - 393
Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 14 Núm. 3 (2021): Julio - Setiembre; 390 - 393
2227-4731
2225-5109
10.35434/rcmhnaaa.2021.143
reponame:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
instname:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
instacron:HNAAA
instname_str Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
instacron_str HNAAA
institution HNAAA
reponame_str Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
collection Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
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repository.mail.fl_str_mv
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