Infantile hemangioma of the orbit

Case contributed by Dr Maxime St-Amant

Presentation

Periorbital soft painless vascular lesion.

Patient Data

Age: 3 years
Gender: Male

MRI shows periorbital hyperintense T2 mass with multiple flow voids and homogenous enhancement post Gadolinium. The lesion is mostly pre-septal but is has a post-septal, extra-conal component at the superior portion of the orbit. The ipsilateral orbit has deviated inferiorly, but otherwise normal.

Brain parenchyma is normal. There is no other vascular anomaly on this MRI. Hence, it is compatible with infantile hemangioma of the orbit.

Case Discussion

The principal differential diagnosis, in this case, would be rhabdomyosarcoma, since other arteriovenous malformations would be highly unlikely, but a more heterogenous enhancement would be expected. Also, the age of the patient and location of the lesion makes this diagnosis a lot less plausible.

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Case information

rID: 18572
Published: 13th Jul 2012
Last edited: 29th Nov 2019
Inclusion in quiz mode: Included

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