PMC4780178_01
Patient on initial presentation with lower orbital swelling with a scar on it
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F1
On examination, the swelling was pinkish in color with a deep "T" shaped scar over it due to previous intervention [Figure 1].
Contrast-enhanced computed tomography showing the extent of the swelling
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F2
Contrast-enhanced computed tomography scan of paranasal sinuses (PNS) and orbit showed an ill-defined, enhancing, soft tissue density mass in the left lacrimal sac region extending up to superior aspect of right maxillary antrum; disruption of medial wall of left orbit was noted; adjacent fat planes were blurred [Figure 2].
Intraoperative picture showing the cavity after removal of the mass
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F3
There were also some erosion of medial part the bony orbit [Figure 3].
Histopathology showing the typical sporangia containing numerous spores
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F4
Surrounding tissues showed chronic inflammatory cell infiltrate [Figure 4].
Patient on 6 months follow-up
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F5
There was no sign of recurrence in last 6 months follow-up [Figure 5].