Nonspecific, or idiopathic, orbital inflammation (IOI) is a group of diseases characterized primarily by inflammation. Another term—pseudotumor—reflects its trait of mimicking oncological processes. Its clinical manifestations are highly polymorphic. There is limited literature on the clinical presentation of IOI in children. This clinical case presents idiopathic inflammation in a six-year-old child that manifested in various forms: initially as unilateral dacryoadenitis, then bilateral, followed by bilateral mass lesions under both orbital roofs. Several specific conditions such as lacrimal gland tumor, Mikulicz’s disease, and sarcoidosis were excluded in this patient in the process of diagnosing IOI. Treatment with systemic glucocorticoids resulted in temporary remission. A second relapse occurred 6 months later, followed by a third relapse one year after the second. The total follow-up period was 2 years.