Misleading presentation of an orbital lymphangioma

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Feb;109(2):e82-5. doi: 10.1016/j.tripleo.2009.08.042. Epub 2009 Dec 23.

Abstract

We describe a 2-year-old patient with an orbital lymphangioma who presented with massive proptosis. We highlight the importance of magnetic resonance imaging in evaluating such patients, because physical examination can be misleading. We also demonstrate the difficulties of managing recurrent hemorrhages when only subtotal excision is possible, as is frequently the case.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Diagnosis, Differential
  • Esotropia / etiology
  • Exophthalmos / etiology
  • Female
  • Humans
  • Lymphangioma / complications
  • Lymphangioma / diagnostic imaging
  • Lymphangioma / pathology*
  • Lymphangioma / surgery
  • Magnetic Resonance Imaging
  • Neoplasm, Residual
  • Neuroblastoma / diagnosis
  • Ophthalmologic Surgical Procedures / adverse effects
  • Orbital Neoplasms / complications
  • Orbital Neoplasms / diagnostic imaging
  • Orbital Neoplasms / pathology*
  • Orbital Neoplasms / surgery
  • Postoperative Hemorrhage / etiology
  • Rhabdomyosarcoma / diagnosis
  • Tomography, X-Ray Computed