{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T04:53:12Z","timestamp":1769921592874,"version":"3.49.0"},"reference-count":25,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,14]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>A 37-year-old Indian female presented with forward protrusion of left eye for one week, associated with progressive diminution of vision. The patient had undergone sinus surgery for nasal polyposis a year ago. On examination, there was severe proptosis and limitation of extraocular movements in all gazes. CT-scan revealed a heterogeneous expansile mass, arising from left fronto-ethmoidal sinus, infiltrating left orbit. MRI showed T2-hyperintense, peripherally enhancing areas in bilateral nasal cavity (right &gt;left), bilateral ethmoidal sinuses and frontal, sphenoidal and maxillary sinuses. Otorhinolaryngology consultation was sought and in view of vision threatening proptosis \u2014 with likely orbital compartment syndrome \u2014 emergent endoscopic guided exploration and orbital decompression was undertaken. Rapid relief of signs and symptoms was achieved, with normal vision, extraocular movements and resolution of proptosis. Cytology and microbiology ruled out infectious or malignant aetiology and helped in resolving a diagnostic dilemma. Histopathology confirmed the diagnosis of mucopyocele and follow-up period was uneventful.<\/jats:p>","DOI":"10.1136\/bcr-2021-241972","type":"journal-article","created":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T11:51:19Z","timestamp":1625831479000},"page":"e241972","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Acute proptosis secondary to bilateral pansinus mucopyocele with orbital compartment syndrome: a rare presentation, its management and outcome"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2219-8073","authenticated-orcid":false,"given":"Khushboo","family":"Chauhan","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanya","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Pathology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhavana","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6991-4746","authenticated-orcid":false,"given":"Samendra","family":"Karkhur","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,7,9]]},"reference":[{"key":"2025082710180386000_14.7.e241972.1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100090836"},{"key":"2025082710180386000_14.7.e241972.2","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2003.50074"},{"key":"2025082710180386000_14.7.e241972.3","first-page":"e469","article-title":"Treatment of oral mucocele-scalpel versus CO2 laser","volume":"14","author":"Yag\u00fce-Garc\u00eda","year":"2009","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"2025082710180386000_14.7.e241972.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2005.03.026"},{"key":"2025082710180386000_14.7.e241972.5","doi-asserted-by":"crossref","unstructured":"Lund VJ . Mucoceles. In: Gleeson M , Browning GG , Burton MJ , et al , eds. Scott-Brown\u2019s Otorhinolaryngology, Head and Neck Surgery. 7th ed. London: Edward Arnold, 2008: 1531\u20138.","DOI":"10.1201\/b15118-134"},{"key":"2025082710180386000_14.7.e241972.6","first-page":"165","article-title":"Recurrent nasal polyp and pansinus mucopyocele associated with bilateral blindness: a case report","volume":"44","author":"Fasunla","year":"2010","journal-title":"Ghana Med J"},{"key":"2025082710180386000_14.7.e241972.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(87)33351-2"},{"key":"2025082710180386000_14.7.e241972.8","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1001\/jamaoto.2015.0524","article-title":"Intraocular pressure changes in emergent surgical decompression of orbital compartment syndrome","volume":"141","author":"Mohammadi","year":"2015","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"2025082710180386000_14.7.e241972.9","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1017\/S0022215100141854","article-title":"Mucoceles of the paranasal sinuses: uncommon location","volume":"112","author":"Arru\u00e9","year":"1998","journal-title":"J Laryngol Otol"},{"key":"2025082710180386000_14.7.e241972.10","first-page":"28","article-title":"Frontoethmoidal sinus mucoceles: report of two cases","volume":"6","author":"Murat","year":"1996","journal-title":"Turk Neurosurg"},{"key":"2025082710180386000_14.7.e241972.11","first-page":"68","article-title":"Bipolaris sphenoid mucopyocele: three cases and literature review","volume":"9","author":"Pappas","year":"1993","journal-title":"Bni Q"},{"key":"2025082710180386000_14.7.e241972.12","first-page":"90","article-title":"Frontal sinus mucocele following facial trauma presenting a pyocele","volume":"3","author":"Bhandary","year":"2013","journal-title":"NUJHS"},{"key":"2025082710180386000_14.7.e241972.13","first-page":"83","article-title":"Anatomical considerations in the aetiology of fronto-ethmoidal mucoceles","volume":"25","author":"Lund","year":"1987","journal-title":"Rhinology"},{"key":"2025082710180386000_14.7.e241972.14","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s12070-014-0781-8","article-title":"Giant ethmoid mucocele presenting as an orbital mass","volume":"67","author":"Gulati","year":"2015","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2025082710180386000_14.7.e241972.15","doi-asserted-by":"publisher","DOI":"10.3109\/00016489309135860"},{"key":"2025082710180386000_14.7.e241972.16","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1007\/s12070-011-0135-8","article-title":"Unusual case of frontoethmoid mucopyocele with intracranial and orbital extension","volume":"63","author":"Mundra","year":"2011","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2025082710180386000_14.7.e241972.17","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1159\/000501898","article-title":"Optic neuropathy due to an ethmoid mucocele: a case report and literature review","volume":"10","author":"Ting","year":"2019","journal-title":"Case Rep Ophthalmol"},{"key":"2025082710180386000_14.7.e241972.18","doi-asserted-by":"publisher","DOI":"10.1258\/0022215001905238"},{"key":"2025082710180386000_14.7.e241972.19","doi-asserted-by":"publisher","DOI":"10.1097\/01.scs.0000168999.20258.ca"},{"key":"2025082710180386000_14.7.e241972.20","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2009.05.006"},{"key":"2025082710180386000_14.7.e241972.21","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6701347"},{"key":"2025082710180386000_14.7.e241972.22","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1590\/S0004-27492006000400011","article-title":"Computed tomographic patterns of orbital cellulitis due to sinusitis","volume":"69","author":"Pereira","year":"2006","journal-title":"Arq Bras Oftalmol"},{"key":"2025082710180386000_14.7.e241972.23","doi-asserted-by":"crossref","first-page":"2189","DOI":"10.2147\/OPTH.S180058","article-title":"Orbital compartment syndrome: an update with review of the literature","volume":"13","author":"McCallum","year":"2019","journal-title":"Clin Ophthalmol"},{"key":"2025082710180386000_14.7.e241972.24","doi-asserted-by":"crossref","first-page":"467","DOI":"10.18231\/j.ijceo.2020.100","article-title":"Fulminant orbital cellulitis with compartment syndrome and vision loss due to Streptococcus pyogenes: a case report","volume":"6","author":"Chavhan","year":"2020","journal-title":"IJCEO"},{"key":"2025082710180386000_14.7.e241972.25","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2009.04.005"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-241972","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:18:12Z","timestamp":1756315092000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-241972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":25,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,9]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bcr-2021-241972"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-241972","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}