Fetal dacryocystocele: a pitfall in the third-trimester prenatal diagnosis of cleft lip

We describe a case of fetal dacryocystocele that was misdiagnosed as an orofacial cleft. A 21-year-old pregnant Asian Indian woman, gravida 1 and nulliparous, was referred to our fetal center at 35 weeks of gestation after a second trimester ultrasound (US) scan performed at another institution had shown a suspicion of cleft lip. The couple was non-consanguineous, with no history of congenital malformations or past medical and surgical problems. The first-trimester US examination at 12 weeks had not shown any anomaly. The woman did not undergo non-invasive or invasive prenatal screening.