Infantile Parotid Hemangioma With Diagnostic Dilemma: A Case Report

INTRODUCTIONSalivary gland tumors are uncommon in children; hemangiomas are one of them. We report a case of infantile hemangioma of the parotid gland which posed a diagnostic dilemma. PATIENTS AND METHODSFour-month-old infant presented with swelling at the parotid gland region, which was progressiv...

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Bibliographic Details
Published in:Clinical medicine insights. Case reports 2022, Vol.15, p.11795476211073385-11795476211073385
Main Authors: Abidi, Kamel T, Kamal, Naglaa M, Althobaiti, Khaled A, Althobaiti, Sami D, Halabi, Yasser A, Alalyani, Saad A
Format: Report
Language:English
Online Access:Get full text
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Summary:INTRODUCTIONSalivary gland tumors are uncommon in children; hemangiomas are one of them. We report a case of infantile hemangioma of the parotid gland which posed a diagnostic dilemma. PATIENTS AND METHODSFour-month-old infant presented with swelling at the parotid gland region, which was progressively increasing. There was a diagnostic dilemma with initial misdiagnosis as acute parotitis. Imaging studies with ultrasonography and CT with contrast were requested. RESULTSImaging studies revealed hyperintense lobulated mass suggestive of parotid hemangioma. Vascular consultation recommended conservative management with follow-up after 3 months. On follow-up, there was an increase in mass size, and propranolol was started. Swelling showed a good response on the next follow-up visit and is still on medical management. CONCLUSIONParotid hemangiomas frequently pose a diagnostic dilemma, but the typical noninflammatory nature of the swelling and radiological evaluation confirms the diagnosis.
ISSN:1179-5476
1179-5476
DOI:10.1177/11795476211073385