The Singapore Family Physician

Back to issue Vol 35 No. 1 - Gastrointestinal diseases

Painful moving lid mass in child

Harold Choi
The Singapore Family Physician Vol 35 No 1 - Gastrointestinal diseases
54 - 55
1 March 2009
0377-5305
An eight-year-old boy presented with a painful mass on the lower lid. Examination revealed what looked to be a pyogenic granuloma. During removal with a forceps, the mass appeared to be animate. Examination under slit-lamp microscopy revealed an insect, complete with body parts. Subsequent laboratory examination identified it as Ixodes. (Work originated from National University Hospital. Department of Ophthalmology)