Infantile heamangioma- retromolar space

Case contributed by Ashesh Ishwarlal Ranchod
Diagnosis almost certain

Presentation

The patient has a red macule within the oral cavity, specifically, the left retromolar space. The lesion is non-tender, and relatively static in size on questioning.

Patient Data

Age: 7 years
Gender: Male
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Sagittal C+
arterial phase
This study is a stack
Coronal C+
arterial phase
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Info

There is an intense and homogeneously enhancing, ovoid mass within the left retromolar space. The lesion is poorly appreciated in the pre-contrast study. There is no associated calcification. There are no phleboliths present. It measures 10.5 x 6.2 x 5.5 mm (AP x W x CC). There are no well-identified feeding arteries or draining veins.

There is age-appropriate adenoidal hypertrophy and palatine tonsillar prominence.

CT imaging is otherwise normal.

Reconstructions and 3D

ct
C+ arterial
phase
Axial C+
arterial phase
Coronal C+
arterial phase
Sagittal C+
arterial phase
Oblique C+
arterial phase
Oblique C+
arterial phase
Sagittal C+
arterial phase
Oblique C+
arterial phase
Oblique C+
arterial phase
Download
Info

Reconstructed images demonstrate the ovoid, left retromolar, avidly enhancing lesion. The right retromolar space is normal. The lesion is expectedly identified on the 3D angiographic images, due to its intense enhancement.

Photograph
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Info

A photograph of the left retromolar, red macule at the time of clinical examination.

Photograph courtesy: Dr Z Dangor.

Case Discussion

An example of a small, retromolar space, infantile hemangioma.

Conservative management is planned due to the absence of any significant symptoms and the potential for involution.

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