{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T23:41:26Z","timestamp":1771458086285,"version":"3.50.1"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T00:00:00Z","timestamp":1580688000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T00:00:00Z","timestamp":1580688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ital J Pediatr"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We report a case of a 4-year-old girl with acute dacryocystitis complicated with giant lacrimal abscess who underwent open dacryocystectomy as resolutive surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 4-year-old previously healthy girl presented to the emergency department with a voluminous and erythematous, fluctuant warm mass localized inferiorly to the medial canthus of the right eye. She had a 2-week history of right inferior eyelid oedema and hyperemia, treated firstly with dexamethasone and netilmicin by eye drops, and then with per oral amoxicillin clavulanate. Ultrasound examination showed a well-circumscribed round lesion filled by anechoic fluid with punctate echoes, confirming a diagnosis of acute dacryocystitis complicated by lacrimal abscess. Parents refused a head CT. Systemic antibiotic treatment was started and, on 5th day from admission, open dacryocystectomy was performed with good esthetical result.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pediatric acute dacryocystitis is a potentially serious condition, which must be treated with intravenous antibiotic therapy followed by surgery tailored to the clinical history. Even if probing and dacryocystorhinostomy are the most used surgery in adults and children, open dacryocystectomy is a safe and successful option, mainly in severe cases where imaging studies are not available.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s13052-020-0779-7","type":"journal-article","created":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T16:03:42Z","timestamp":1580745822000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Acute dacryocystitis with giant lacrimal abscess: a case report"],"prefix":"10.1186","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7027-6817","authenticated-orcid":false,"given":"Maria","family":"Di Cicco","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabetta Maria","family":"Bellino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Marabotti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Luti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego G.","family":"Peroni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giampiero I.","family":"Baroncelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,2,3]]},"reference":[{"key":"779_CR1","doi-asserted-by":"publisher","first-page":"118","DOI":"10.3109\/08820538.2013.833269","volume":"30","author":"MJ Ali","year":"2015","unstructured":"Ali MJ, Joshi SD, Naik MN, Honavar SG. Clinical profile and management outcome of acute dacryocystitis: two decades of experience in a tertiary eye care center. Semin Ophthalmol. 2015;30:118\u201323.","journal-title":"Semin Ophthalmol"},{"key":"779_CR2","doi-asserted-by":"crossref","first-page":"143","DOI":"10.3928\/0191-3913-19970501-04","volume":"34","author":"BN Campolattaro","year":"1997","unstructured":"Campolattaro BN, Lueder GT, Tychsen L. Spectrum of pediatric dacryocystitis: medical and surgical management of 54 cases. J Pediatr Ophthalmol Strabismus. 1997;34:143\u201353.","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"779_CR3","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1097\/IOP.0000000000000472","volume":"31","author":"MJ Ali","year":"2015","unstructured":"Ali MJ. Pediatric acute Dacryocystitis. Ophthalmic Plast Reconstr Surg. 2015;31:341\u20137.","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"779_CR4","first-page":"9630698","volume":"2016","author":"ML Pfeiffer","year":"2016","unstructured":"Pfeiffer ML, Hacopian A, Merritt H, Phillips ME, Richani K. Complete vision loss following orbital cellulitis secondary to acute Dacryocystitis. Case Rep Ophthalmol Med. 2016;2016:9630698.","journal-title":"Case Rep Ophthalmol Med"},{"key":"779_CR5","first-page":"74","volume":"110","author":"GT Lueder","year":"2012","unstructured":"Lueder GT. The association of neonatal dacryocystoceles and infantile dacryocystitis with nasolacrimal duct cysts (an American ophthalmological society thesis). Trans Am Ophthalmol Soc. 2012;110:74\u201393.","journal-title":"Trans Am Ophthalmol Soc"},{"key":"779_CR6","doi-asserted-by":"publisher","first-page":"337","DOI":"10.2147\/OPTH.S100280","volume":"10","author":"K Pornpanich","year":"2016","unstructured":"Pornpanich K, Luemsamran P, Leelaporn A, Santisuk J, Tesavibul N, Lertsuwanroj B, et al. Microbiology of primary acquired nasolacrimal duct obstruction: simple epiphora, acute dacryocystitis, and chronic dacryocystitis. Clin Ophthalmol. 2016;10:337\u201342.","journal-title":"Clin Ophthalmol"},{"key":"779_CR7","first-page":"NC01","volume":"11","author":"BC Saha","year":"2017","unstructured":"Saha BC, Kumari R, Sinha BP. Clinical outcome of probing in infants with acute Dacryocystitis - a prospective study. J Clin Diagn Res. 2017;11:NC01\u20133.","journal-title":"J Clin Diagn Res"},{"key":"779_CR8","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1097\/IOP.0000000000000269","volume":"30","author":"MJ Ali","year":"2014","unstructured":"Ali MJ. Dacryocystectomy: goals, indications, tecniques and indications. Ophthalm Plast Reconstr Surg. 2014;30:512\u20136.","journal-title":"Ophthalm Plast Reconstr Surg"}],"container-title":["Italian Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13052-020-0779-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13052-020-0779-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13052-020-0779-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,14]],"date-time":"2022-10-14T04:59:32Z","timestamp":1665723572000},"score":1,"resource":{"primary":{"URL":"https:\/\/ijponline.biomedcentral.com\/articles\/10.1186\/s13052-020-0779-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,3]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["779"],"URL":"https:\/\/doi.org\/10.1186\/s13052-020-0779-7","relation":{},"ISSN":["1824-7288"],"issn-type":[{"value":"1824-7288","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,3]]},"assertion":[{"value":"9 January 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 January 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 February 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"A written informed consent was signed by our patient\u2019s father who agreed to report the case and publish her daughter\u2019s pictures.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"15"}}