Infantile haemangioma of the orbit

Case contributed by Dr Maxime St-Amant

Presentation

Periorbital soft painless vascular lesion.

Patient Data

Age: 3
Gender: Male
Modality: MRI

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 is deviated inferiorly, but otherwise normal.

Brain parenchyma is normal. There are no other vascular anomaly on this MRI. Hence, it is compatible with infantile haemangioma 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
Case created: 13th Jul 2012
Last edited: 25th Jan 2016
Inclusion in quiz mode: Included

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