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Case Reports
. 2017 Jul 24:10:255-259.
doi: 10.2147/IMCRJ.S133284. eCollection 2017.

Cavernous hemangioma of the orbit: an unusual acute presentation

Sophia Louisraj  1 , Thendral Ponnudurai  1 , Dominic Rodriguez  2 , Philip A Thomas  1 , Christadoss Arul Nelson Jesudasan  1
Affiliations
Case Reports

Cavernous hemangioma of the orbit: an unusual acute presentation

Sophia Louisraj et al. Int Med Case Rep J. .

Abstract

We report an unusual presentation of an orbital cavernous hemangioma in a 26-year-old female, who noted sudden redness and swelling of the left eye (LE) on waking up. At presentation, upper eyelid edema with periorbital ecchymosis and subconjunctival hemorrhage were noted in the LE. Although there was transient symptomatic relief with topical medications, blurring of vision developed in the LE. When seen 10 days later, the patient's LE showed axial proptosis. Magnetic resonance imaging revealed an intraconal soft tissue mass in the superomedial quadrant of the left orbit. Superior orbitotomy with mass excision was done; histopathological examination of the excised mass revealed a cavernous hemangioma. The patient had complete visual recovery following surgery. To our knowledge, an acute presentation of an orbital cavernous hemangioma with subconjunctival hemorrhage and periorbital ecchymosis has not previously been reported.

Keywords: cavernous hemangioma; ecchymosis; subconjunctival hemorrhage.

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Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Initial presentation with subconjunctival hemorrhage and periorbital ecchymosis.
Figure 2
Figure 2
Axial proptosis of the left eye with inferior scleral show.
Figure 3
Figure 3
Magnetic resonance imaging (axial section) showing intraconal mass lesion in the left orbit (arrow).
Figure 4
Figure 4
Magnetic resonance imaging of axial (A) and coronal (B) section. Notes: Magnetic resonance imaging (A) axial section with arrow pointing to the well defined mass lesion seen posterior to the eyeball and (B) coronal section with arrows delineating the lesion to the superomedial quadrant of the orbit. Abbreviation: RHP, right headend posterior.
Figure 5
Figure 5
Magnetic resonance imaging showing sagittal section. Note: Magnetic resonance imaging (sagittal section) showing well defined intraconal mass lesion causing indentation of the posterior part of the eyeball (arrow).
Figure 6
Figure 6
Intraoperative image.
Figure 7
Figure 7
Intraoperative image showing the incision being made on the periorbita.
Figure 8
Figure 8
Intraoperative image showing the prolapsing orbital fat and the hemangioma within the cut ends of the periorbita.
Figure 9
Figure 9
Intraoperative image showing the exposed globular mass of the hemangioma.
Figure 10
Figure 10
Postoperative CT image. Abbreviations: AL, anterior left; PR, posterior right.
Figure 11
Figure 11
Clinical picture 1 month after surgery.
See this image and copyright information in PMC

References

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