Mature orbital teratoma presenting as a recurrent orbital cellulitis with an ectopic tooth and sphenoid malformation-a case report

Recurrent Periorbital Cellulitis Secondary to Cyclic Neutropenia

Purpose:

To present a 1-year-old boy with cyclic neutropenia who presented with multiple episodes of periorbital cellulitis (POC).

Methods:

The child presented with three episodes of POC. In the second episode, the cellulitis was associated with nasolacrimal duct obstruction, and in the third episode, a pansinusitis was noted. He underwent a thorough systemic evaluation.

Results:

Patient's evaluation revealed the diagnosis of cyclic neutropenia.

Conclusion:

This report emphasizes the possibility of an underlying immunodeficiency with recurrent POC, even in an apparently healthy child.

Huge congenital teratoma containing tooth in a three-day-old neonate

Congenital teratoma is a rare cause of congenital proptosis. A full term three-day-old male child was presented with massive unilateral swelling in the left orbit, which was noted since birth. Diagnosis of orbital teratoma without intracranial extension was made based on clinical examination and imaging. Lid-sparing exenteration of the left orbit was done. Histopathological examination confirmed the diagnosis of cystic teratoma. Congenital orbital teratoma with a tooth and mature elements of all the three germ cell layers is reported due to its extreme rarity.

Mature teratoma presenting as orbital cellulitis in a 5-month-old baby

We have presented an interesting case of an unexpected orbital tumor in a 5-month-old female healthy baby who presented initially with a 1-week history of acute left proptosis, swollen eyelid, conjunctival chemosis and exposure keratopathy. She was treated with intravenous antibiotics without any improvement and was referred for the drainage of the left orbital abscess. The procedure was performed with partial resolution, however the proptosis persisted and an underlying orbital pathologic lesion was suspected. Further exploring the left orbital revealed a partially cystic tumor. The histopathologic features were consistent with a mature teratoma. The case is presented with a brief discussion on this entity to attract the attention of general ophthalmologists to such tumors in the orbit.

Primary orbital teratoma with tooth in an adult: a rare association with cataract and corectopia

INTRODUCTION

Orbital teratoma is a known cause of proptosis in neonates but it is rare in adults.

CASE REPORT

An adult female presented with primary orbital teratoma with a well formed tooth inside the multicystic mass. Anterior orbitotomy with cyst excision was done with retrieval of a canine tooth.

COMMENT

This report documents a unique case of orbital teratoma presenting in an adult with well formed canine tooth inside. Microcornea, corectopia and cataract were other distinctive coexisting features of our case.

Mature orbital teratoma with an ectopic tooth and primary anophthalmos

PURPOSE

To describe the clinicopathologic features and management of an unusual case of orbital teratoma.

METHODS

A 7-year-old girl presented with a history of an orbital mass since birth. CT scan showed a large mass lesion involving the right orbit, with absence of the eyeball. An ectopic tooth was identified within the tumor. Lid-sparing exenteration surgery was performed.

RESULTS

Histopathologic examination of the excised mass showed presence of elements from all three germ layers, consistent with a diagnosis of mature orbital teratoma. Normal ocular structures were not identified on histopathology. At one year follow-up, there was no tumor recurrence.

CONCLUSION

We report an extremely rare and interesting case of a mature orbital teratoma, which was associated with primary anophthalmos and an ectopic tooth.