Capillary haemangioma of the orbit

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Left medial periorbital painless subcutaneous swelling since birth.

Patient Data

Age: 25
Gender: Male
CT

CT orbit with contrast

Oval shaped left intra-orbital extra-conal lesion currently measuring 12 x 16 x 17 mm with well defined outlines. It is located along the supero-medial aspect of the left orbit just inferior to the left superior oblique muscle, insinuating itself between the superior-medial bony orbital rim and the globe. The latter is mildly displaced laterally. The lesion showed avidly enhancing matrix. No related significant bony changes. The left orbital structures are otherwise, normal.       

Normal CT features of the right orbit.

Case Discussion

The described CT features are suggestive of left orbital extra-conal lesion … mostly representing capillary heamangioma of the orbit.

Capillary haemangioma of the orbit is different from orbital cavernous hemangioma. It is usually present since birth anterior to the globe with imaging charachteristics of avid homogenous enhancement in contrast enhanced CT.

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Case information

rID: 44610
Case created: 28th Apr 2016
Last edited: 24th Mar 2017
System: Head & Neck
Inclusion in quiz mode: Included

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