case_images: PMC4780178_01
case_images: Patient on initial presentation with lower orbital swelling with a scar on it
case_images: JNSBM-7-98-g001.jpg
case_images: PMC4780178_01_JNSBM-7-98-g001.jpg
case_images: F1
case_images: On examination, the swelling was pinkish in color with a deep "T" shaped scar over it due to previous intervention [Figure 1].
case_images: Contrast-enhanced computed tomography showing the extent of the swelling
case_images: JNSBM-7-98-g002.jpg
case_images: PMC4780178_01_JNSBM-7-98-g002.jpg
case_images: F2
case_images: 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].
case_images: Intraoperative picture showing the cavity after removal of the mass
case_images: JNSBM-7-98-g003.jpg
case_images: PMC4780178_01_JNSBM-7-98-g003.jpg
case_images: F3
case_images: There were also some erosion of medial part the bony orbit [Figure 3].
case_images: Histopathology showing the typical sporangia containing numerous spores
case_images: JNSBM-7-98-g004.jpg
case_images: PMC4780178_01_JNSBM-7-98-g004.jpg
case_images: F4
case_images: Surrounding tissues showed chronic inflammatory cell infiltrate [Figure 4].
case_images: Patient on 6 months follow-up
case_images: JNSBM-7-98-g005.jpg
case_images: PMC4780178_01_JNSBM-7-98-g005.jpg
case_images: F5
case_images: There was no sign of recurrence in last 6 months follow-up [Figure 5].