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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2025; 13(31): 109584
Published online Nov 6, 2025. doi: 10.12998/wjcc.v13.i31.109584
Published online Nov 6, 2025. doi: 10.12998/wjcc.v13.i31.109584
Acquired cutaneous fistula in the periocular area: A case report
Bijnya Birajita Panda, Anmol Kar, Thilakraj Koppalu Lingaraju, Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneshwar 751019, Odisha, India
Pavithra Ayyanar, Department of Pathology, All India Institute of Medical Sciences, Bhubaneshwar 751019, Odisha, India
Co-first authors: Bijnya Birajita Panda and Anmol Kar.
Author contributions: Panda BB designed and conducted the study, critically analyzed the initial manuscript, and provided crucial input that was essential for preparing the final version of the manuscript; Panda BB and Kar A wrote the manuscript; Panda BB, Kar A, and Ayyanar P critically analyzed the manuscript and were responsible for the preparation of figures; Panda BB and Ayyanar P provided the histopathological data; Kar A acquired the clinical data, prepared the first draft of the manuscript, and conducted the literature search; Koppalu Lingaraju T provided clinical input. Panda BB and Kar A contributed equally to this manuscript and are co-first authors.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bijnya Birajita Panda, MS, Assistant Professor, Department of Ophthalmology, All India Institute of Medical Sciences, Sijua, Bhubaneshwar 751019, Odisha, India. bigyan_panda@yahoo.co.in
Received: May 19, 2025
Revised: June 28, 2025
Accepted: August 22, 2025
Published online: November 6, 2025
Processing time: 168 Days and 2.1 Hours
Revised: June 28, 2025
Accepted: August 22, 2025
Published online: November 6, 2025
Processing time: 168 Days and 2.1 Hours
Core Tip
Core Tip: Lacrimal sac rhinosporidiosis can rarely present as a chronic discharging fistula. We report the case of a 39-year-old female with a 6-year history of epiphora and mucoid discharge from a left lacrimal sac fistula, clinically mimicking chronic dacryocystitis. Surgical exploration revealed a large pedunculated vascular mass, which was confirmed on histopathology as lacrimal sac rhinosporidiosis. She was treated for nasal extension, remaining recurrence-free over 3 years of follow-up. This case highlights the importance of keeping rhinosporidiosis as a differential for any patient with lacrimal sac area swelling, with or without discharging fistula.