Coelho, Tiago LourençoNeves, João FonsecaCaiado, RicardoSilva, Luís Filipe2022-11-302022-11-302021-12Nascer e Crescer - Birth and Growth Medical Journal 2021;30(4):246-248. doi:10.25753/BirthGrowthMJ.v30.i4.207552183-9417http://hdl.handle.net/10400.16/2756Dacryocystocele is an uncommon congenital disease affecting less than 1% of newborns. Herein is presented the case of a female newborn with respiratory distress with onset in the first hours of life and worsening during breastfeeding. Resistance to endoscope progression due to narrowing of both patent nasal cavities was noticed during flexible nasal endoscopy, and computed tomography revealed an extremely rare case of bilateral dacryocystocele. A conservative approach was chosen, with surveillance in the Intensive Care Unit. Although most dacryocystocele cases resolve spontaneously in the first year of life, recognition of this rare condition (particularly in Otolaryngology and Ophthalmology clinical practice) is crucial to prevent complications.engbilateral congenital dacryocystoceleneonatal respiratory obstructionjournal articlehttps://doi.org/10.25753/BirthGrowthMJ.v30.i4.20755