Shrestha Pranav, Shrestha Gulshan Bahadur
Mechi Eye Hospital, Jhapa, Nepal.
Department of Ophthalmology, Institute of Medicine, Tribhuwan University Teaching Hospital, Kathmandu, Nepal.
Int Med Case Rep J. 2020 Sep 11;13:415-418. doi: 10.2147/IMCRJ.S266285. eCollection 2020.
A 36 year old male presented with a two-month history of a progressively increasing proptosis of the right eye associated with redness. MRI of brain and orbit revealed a mass in the intraconal compartment in the lateral aspect of the right orbit that had T1, T2, and FLAIR high signal intensity and was completely suppressed in the STIR image. Excisional biopsy of the mass resolved the proptosis, and histology revealed encapsulated tumor composed of lobules of mature adipocytes along with fibro collagenous septa. Thus, diagnosis of lipoma was established that has uncommon occurrence in the orbital region.
一名36岁男性,右眼渐进性眼球突出伴发红2个月。脑部和眼眶MRI显示右眼眶外侧肌锥内间隙有一肿块,T1、T2及液体衰减反转恢复序列(FLAIR)呈高信号,在短T1反转恢复序列(STIR)图像上完全被抑制。肿块切除活检后眼球突出消失,组织学显示为包膜完整的肿瘤,由成熟脂肪细胞小叶及纤维胶原间隔组成。由此确诊为脂肪瘤,该肿瘤在眼眶区域较为少见。