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Peer-reviewedCC BY-NC-ND 4.0American Journal of Ophthalmology Case Reports

Angioleiomyoma Masquerading as a lacrimal sac swelling

  • Lavanya Maddi1
  • Saumya Jakati2
  • Mohammad Javed Ali1
  1. 1Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, 500034, India
  2. 2Ophthalmic Pathology Laboratory, L.V. Prasad Eye Institute, Hyderabad, India
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Abstract

Purpose: To describe a rare case of angioleiomyoma masquerading as lacrimal sac swelling.

Observations: A 41-year-old male presented with swelling below the right eye of one month's duration. Examination revealed a firm swelling inferomedial to the medial canthus with a corresponding isodense lesion on computed tomography imaging. The lacrimal drainage system was patent in both eyes. Exploration and excision biopsy were performed. Histopathological and immunohistochemical examinations were consistent with the diagnosis of Angioleiomyoma.

Conclusion: This case emphasizes the importance of considering angioleiomyoma in the differential diagnosis of masqueraders of lacrimal sac lesions

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Cite

BibTeXRIS
BibTeX
@article{maddi2026angioleiomyoma,
  title = {{Angioleiomyoma Masquerading as a lacrimal sac swelling}},
  author = {Lavanya Maddi and Saumya Jakati and Mohammad Javed Ali},
  journal = {American Journal of Ophthalmology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.ajoc.2026.102696},
  url = {https://doi.org/10.1016/j.ajoc.2026.102696},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Angioleiomyoma Masquerading as a lacrimal sac swelling
AU  - Lavanya Maddi
AU  - Saumya Jakati
AU  - Mohammad Javed Ali
PY  - 2026
DA  - 2026/10/23
JO  - American Journal of Ophthalmology Case Reports
DO  - 10.1016/j.ajoc.2026.102696
UR  - https://doi.org/10.1016/j.ajoc.2026.102696
AB  - Purpose: To describe a rare case of angioleiomyoma masquerading as lacrimal sac swelling.  Observations: A 41-year-old male presented with swelling below the right eye of one month's duration. Examination revealed a firm swelling inferomedial to the medial canthus with a corresponding isodense lesion on computed tomography imaging. The lacrimal drainage system was patent in both eyes. Exploration and excision biopsy were performed. Histopathological and immunohistochemical examinations were consistent with the diagnosis of Angioleiomyoma.  Conclusion: This case emphasizes the importance of considering angioleiomyoma in the differential diagnosis of masqueraders of lacrimal sac lesions
SN  - 2451-9936
ER  -