Abstract

Cavernous hemangioma is the most frequent primary orbital tumor seen in adults. It is a benign lesion but may compromise optic nerve function. Acute presentation with hemorrhage into the tumor is a rare occurrence with only ten cases reported in literature. We report an unusual case of a sudden painful proptosis with unilateral blindness due to acute bleeding of cavernous hemangioma, MRI revealed an intraconal soft tissue mass of the left orbit. Results: Patient underwent a transcranial approach and tumor was removed. The histopathological examination revealed a cavernous hemangioma. The patient had complete symptomatic recovery following surgery. Conclusion: Orbital hemangiomas presenting with hemorrhage is rare and should be evocated on first.

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