Almatrudi Mazen, Alnowaishiri Khalaf, Babiker Sabrin, Alsufyani Demah, Abdelaziz Ahmed
General Practice, Qassim University, Qassim, SAU.
General Practice, University of Jordan, Amman, JOR.
Cureus. 2023 Dec 8;15(12):e50156. doi: 10.7759/cureus.50156. eCollection 2023 Dec.
Infantile hemangiomas are common vascular tumors in infancy, typically affecting the skin. However, intraconal orbital hemangiomas are rare and present diagnostic challenges due to their impact on critical structures within the orbit. We present the case of a 1-year-old male with progressive orbital swelling and proptosis. Initial conservative management with propranolol was attempted, but due to the lack of response, surgical resection of the intraconal hemangioma was performed. Pediatric orbital hemangiomas, particularly intraconal variants, pose distinctive diagnostic challenges. While conservative approaches, such as propranolol, align with evolving strategies for infantile hemangiomas, surgical intervention may be necessary in cases with an inadequate response. This case underscores the importance of recognizing the need for timely surgical intervention in pediatric orbital hemangiomas, even after initial conservative measures. Successful surgical outcomes contribute to understanding pediatric orbital pathology and emphasize the ongoing evolution of management strategies in this challenging clinical scenario.
婴儿血管瘤是婴儿期常见的血管肿瘤，通常累及皮肤。然而，眶内圆锥内血管瘤罕见，因其对眼眶内关键结构的影响而带来诊断挑战。我们报告一例1岁男性患儿，有进行性眼眶肿胀和眼球突出。最初尝试用普萘洛尔进行保守治疗，但由于无反应，遂对圆锥内血管瘤进行了手术切除。小儿眼眶血管瘤，尤其是圆锥内型，带来独特的诊断挑战。虽然诸如普萘洛尔等保守方法符合婴儿血管瘤不断发展的治疗策略，但在反应不佳的情况下可能需要手术干预。本病例强调了认识到小儿眼眶血管瘤即使在初始保守治疗后仍需及时手术干预的重要性。成功的手术结果有助于理解小儿眼眶病理学，并强调在这一具有挑战性的临床情况下管理策略的不断演变。
