DOI: 10.36347/sjmcr.2024.v12i03.029

Pages: 348-350

Hemangiomas are the most common benign tumors in children (10% of infants), affecting girls more than boys. It corresponds to a transient proliferation of endothelial cells fed by neo-vessels. Hemangiomas of orbito-palpebral localization affect 10 to 12% of children, requiring rapid diagnosis and management as they can be complicated by amblyopia due to mechanical ptosis and astigmatism due to compression of the eyeball. We report the case of a 7-year-old male child who presented with a swelling of the left lower eyelid, discovered at the age of one, progressively increasing in size and unimproved by beta-blockers. On examination, a bluish mass was found, with fine telangiectasias and no pain on palpation. Imaging, in particular orbital MRI, confirms the diagnosis of subpalpebral capillary hemangioma, as well as assessing its retrobulbar extension, appearing as T1 hyposignal, T2 hyperhypersignal and the site of numerous structures in "signal voids" corresponding to fast-flowing vessels, and which takes on strong contrast after injection of Gadolinium with respect for intra- and extra-conical fat and the optic nerve.