Misleading presentation of an orbital lymphangioma

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 hemorr...

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Bibliographic Details
Published in:Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 2010-02, Vol.109 (2), p.e82-e85
Main Authors: Nazarian-Mobin, Sheila S., MD, Simms, Kimberly, Urata, Mark M., MD, DDS, Tarczy-Hornoch, Kristina, MD, PhD, Hammoudeh, Jeffrey A., MD, DDS
Format: Article
Language:English
Subjects:
Child, Preschool
Dentistry
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
Surgery
Tomography, X-Ray Computed
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Description
Summary: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.
ISSN:1079-2104
1528-395X
DOI:10.1016/j.tripleo.2009.08.042