Bilateral Nasolacrimal Duct Congenital Mucocele in a Newborn

A new-born at 38+0 weeks of gestational age presented with respiratory distress (resolved with oxygen administration) and swelling along the inner corner of the left eye with a deformed profile of the palpebral fissure in the medial canthal region. CT scan showed a hypo dense formation with fluid/suprafluid density, originating from the left nasolacrimal duct and extended caudally into the inferior nasal meatus and a smaller one, the right nasal inferior meatus. Histologic examination showed the lesion to be compatible with nasolacrimal mucoceles.