Venous malformation (orbital)

Case contributed by R Mannava
Diagnosis almost certain

Presentation

Incidental finding

Patient Data

Age: 68
Gender: Female

Initial study

ct

Within the intraconal right orbit superolateral to the optic nerve is a homogenously enhancing, microlobulated, circumscribed mass.

3 yr later. No Rx performed.

ct

Decreased size of the orbital mass

Case Discussion

The mass spontaneously decreased in size on subsequent CT.  The mass again enlarged on a third CT obtained later (not shown).

The fluctuating size of the mass documented by CT is diagnostic of a venous malformation. The same can be elicited by repeating CT during valsalva manoeuvre to increase venous pressure.

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