Congenital Bilateral Dacryocystocele with Nasal Pyriform Aperture Stenosis


  • Muhammad Harith Mohamed Rouse Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Sultan Abdul Halim, Sungai Petani, Kedah, Malaysia
  • Nor Shahida Abd Mutalib Department of Otorhinolaryngology, Hospital Sultan Abdul Halim, 08000 Sungai Petani, Kedah, Malaysia
  • Nurliza Idris Department of Otorhinolaryngology, Hospital Sultan Abdul Halim, 08000 Sungai Petani, Kedah, Malaysia
  • Azliana Aziz Department of Otorhinolaryngology- Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, Malaysia



Congenital Dacryocystocele, Nasal Pyriform Aperture Stenosis, Congenital Anomalies, Choanal Stenosis


Congenital bilateral dacryocystocele with concomitant congenital nasal pyriform aperture stenosis is a very rare case we seen in the paediatric age group. We report a case referred by the paediatric department to rule out choanal stenosis. The referring department had difficulty to insert a feeding tube to the patient. Nose and throat examination showed reduce misting on cold spatula test and unable to introduce nasoendoscope into both nostrils, which indicates obstruction. Radiological investigation revealed as congenital dacryocystocele with nasal pyriform aperture stenosis. The patient was managed surgically with good recovery.


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How to Cite

Mohamed Rouse, M. H., Abd Mutalib, N. S., Idris, N., & Aziz, A. (2021). Congenital Bilateral Dacryocystocele with Nasal Pyriform Aperture Stenosis. Malaysian Journal of Paediatrics and Child Health, 27(1), 25-30.



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