A Case study of Unilateral Proptosis in Fungal sinusitis

Jasmeet Kaur

A Case study of Unilateral Proptosis in Fungal sinusitis

Keywords : Proptosis, Extraconal mass, Fungal Sinusitis


Abstract

Proptosis is one of the common manifestations of orbital pathology it can be the only symptom of nasal and paranasal sinus disease. Careful attention for the cause and precise diagnosis is essential for favourable outcome.
Case Report
This report presents a 32 yr. old female patient with proptosis and watering of left eye. On examination there was slight restriction of movement of extraocular muscles on medial gaze. CECT PNS revealed minimally enhancing elliptical mass 3*1.3cm along medial wall of left orbit abutting the optic nerve in orbital part. Endoscopic sinus clearance with debulking of firm mass was done and biopsy of left extraconal mass was sent for histopathological examination. Fungal culture and sensitivity revealed Aspergillus flavus
Conclusion
The aim of this report is to highlight the atypical presentation of sinonasal pathology and to present the diagnosis and management of unilateral proptosis case secondary to chronic reactive fungal sinusitis in immunocompetent patient.

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