Acquired cutaneous fistula in the periocular area: A case report

Figure 1 Clinical photo. The photo shows swelling over the left medial canthal area with overlying skin showing puckered appearance, white comedones, and a fistulous opening with mucoid discharge.

Figure 2 Histopathological examination. The excised mass showed thick-walled sporangia rupturing to release endospores, suggestive of rhinosporidiosis.

Figure 3 Computed tomography. A and B: Isodense mass lesion in lacrimal sac area showing extension into preseptal area (marked with yellow arrow), left nasolacrimal duct (marked with orange arrow).

Figure 4 Gross specimen of the surgically excised mass. The show a strawberry-like polypoidal vascular mass, with multiple papillary excrescences.

Figure 5 Clinical photo. The photo shows a healthy periocular area near medial canthus, with the patient showing no recurrence at 3 years postoperatively.