Abstract
This report highlights a rare case of a benign orbital intramuscular lipoma mimicking a malignant tumor with unusual sphenoid wing destruction. A 2-year-old female patient presented with proptosis of the left eye, left temporal fullness, and motility disturbance during abduction. Brain and orbital computed tomography revealed an inhomogeneous enhancing density partially circumscribed mass in the left extraconal space (36.6 × 34.4 × 34.2 mm) with bone erosion of the greater wing of the left sphenoid bone. The clinical and radiologic findings suggested rhabdomyosarcoma. Histopathology revealed diffuse infiltration of mature adipocytes in the striated muscle. An intramuscular lipoma, a rare subtype of benign lipoma, can mimic malignant orbital tumors due to adjacent bone erosion.
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