Kaur Apjit, Ojha B K, Jaiswal Vishal, Pandey Sukant
Oculoplasty Clinic, Department of Ophthalmology, Chhatrapati Shahuji Maharaj Medical University (Upgraded King George's Medical University), Lucknow, India.
Saudi J Ophthalmol. 2011 Jan;25(1):93-5. doi: 10.1016/j.sjopt.2010.10.008. Epub 2010 Oct 13.
A case report of an orbital eosinophilic granuloma presenting as a fistula in a 15-year-old boy is presented. The patient had a history of a painful right upper eyelid swelling which required drainage and was considered as an abscess. An increase in swelling occurred and a small fistula appeared in the area subsequently. Computed tomography scan revealed a large soft tissue lesion in right superolateral orbit having intracranial extradural extension with destruction of bony orbital margin. Fine needle aspiration biopsy of the lesion revealed eosinophilic granuloma. A complete excision of the lesion was performed by a brow incision and histopathological examination of the excised specimen confirmed diagnosis. Although upper eyelid area eosinophilic granuloma is known to occur, its presentation as a fistula is not known.
本文报告一例15岁男孩眼眶嗜酸性肉芽肿表现为瘘管的病例。患者有右侧上睑肿痛病史，曾行引流，当时被认为是脓肿。之后肿胀加剧，该区域出现一个小瘘管。计算机断层扫描显示右侧眶外上象限有一个大的软组织病变，向颅内硬膜外延伸，眶骨边缘骨质破坏。对该病变进行细针穿刺活检，结果显示为嗜酸性肉芽肿。通过眉部切口对病变进行了完整切除，切除标本的组织病理学检查确诊了病情。虽然已知上睑区域会发生嗜酸性肉芽肿，但其表现为瘘管的情况并不多见。
