Intramuscular hemangioma, is a distinctive type of vascular tumor occurring within the skeletal muscle. Most IMH are located in the lower extremity, particularly in the muscles of the thigh and rarely in head and neck region. 35 years old male reported with a swelling in the left cheek region since 3 years. Clinical and radiological evaluation leads to the diagnosis of Intramuscular hemangioma. Surgical excision was performed and histopathology confirmed the diagnosis. Hemangiomas of skeletal muscle represent 0.8% of all benign vascular neoplasm Welsch and Hengerer, 1980 [4]. Of these 13.8% occur in the head and neck region, with the masseter muscle being the most common site, followed by the trapezius and sternocleidomastoid muscles respectively. The lesions previously described as deep infiltrating angiolipomas have now been recognized by the WHO as intramuscular hemangiomas. numerous theories proposed for ethiopathogenisis of vascular lesions have been discussed. In conclusion, angiolipomas are rare in the head and neck region, and it should be considered in the differential diagnosis of masses in these regions. Proper radiological and clinical examination will reveal the type of vascular lesion. Excellent results can be obtained with timely management and good surgical skills.

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