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 hemorrhages when only subtotal excision is possible, as is frequently the case.
Nazarian-Mobin
Sheila S
SS
Division of Plastic Surgery, University of Southern California, Children's Hospital Los Angeles, Los Angeles, California 90027, USA. snazarian@surgery.usc.edu
Simms
Kimberly
K
Urata
Mark M
MM
Tarczy-Hornoch
Kristina
K
Hammoudeh
Jeffrey A
JA
D002675:Child, Preschool; D003937:Diagnosis, Differential; D004948:Esotropia / Q000209:etiology; D005094:Exophthalmos / Q000209:etiology; D005260:Female; D006801:Humans; D008202:Lymphangioma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D018365:Neoplasm, Residual; D009447:Neuroblastoma / Q000175:diagnosis; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects; D009918:Orbital Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D019106:Postoperative Hemorrhage / Q000209:etiology; D012208:Rhabdomyosarcoma / Q000175:diagnosis; D014057:Tomography, X-Ray Computed