PMC5324226_01
Severe right eye extrusion on admission
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Fig1
Under ocular examination, she had severe right eye extrusion (Fig. 1) and a total corneal epithelial defect with a good red reflex.
A large unicystic retrobulbar mass with hypo-intensity in T1 and hyper-intensity in T2 (a: Sagittal T1view, b: Axial T2 view, c: axial T1 views)
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Fig2
T1 and hyper-intensity in T2 (Fig. 2). The case underwent further daily ocular assessment until day 5; when proptosis began to worsen again (Fig. 3).
The patient's presentation on the 5th day; proptosis began to worsen again
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Fig3
T1 and hyper-intensity in T2 (Fig. 2). The case underwent further daily ocular assessment until day 5; when proptosis began to worsen again (Fig. 3).
Excisional biopsy of the cyst on the 6th day. a, b: During the surgery, c: The excised cyst and the aspirated straw colored fluid)
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Fig4
The diameter of the aspirated mass was about 4 cm (Fig. 4).
Histopathologic examination; a and b: a cystic cavity lined by a layer of sweat duct like epithelium (flat to cuboid) with typical apical snouts consistent with the diagnosis of apocrine hidrocystoma was reported (Hematoxylin and eosin stain)
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Fig5
In pathologic consultation, a cystic cavity lined by a layer of sweat duct like epithelium with apical snouts consistent with the diagnosis of apocrine hidrocystoma was reported (Fig. 5).
After 3 months of follow-up
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Fig6
The patient was followed for 3 months (Fig. 6) and had no significant complications.