Abstract
To report a rare presentation of lympho-vascular malformation, a 42-year-old female presented with a one year history of progressive left eye protrusion, restricted ocular movements, and diminished vision. Clinical examination revealed facial asymmetry and axial proptosis of the left eye. Contrast-enhanced computed tomography demonstrated a well-defined, lobulated, soft-tissue attenuating lesion in the intraconal compartment of the left retrobulbar region, suggestive of a lymphovascular malformation. An anterior orbitotomy was performed via a lateral approach, and the excised lesion was sent for histopathological examination (HPE), which confirmed the diagnosis of cavernous hemangioma. Our case highlights importance of keeping differential diagnosis of cavernous hemangioma in cases of lympho vascular malformation. It is very much important to have differential diagnosis of cavernous hemangioma in cases of lympho vascular malformation. Misdiagnosing cavernous hemangioma as another orbital lymphovascular malformation can lead to inappropriate management, such as unnecessary interventions or delayed treatment, increasing the risk of vision loss or complications. Accurate differentiation via imaging and clinical evaluation is crucial for optimal outcomes.
Published Version
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