PMC5366764_01
Preoperative status showing prominence of the hemangioma on dextroversion.
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fig1
The mass was 10 x 20 mm in size, firm, nodular, nontender, nonpulsatile, noncompressible, and nonreducible (Figure 1).
USG B-scan of orbit showing heterogenous mass in the extraconal compartment close to the insertion of the medial rectus.
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fig2
USG B-scan revealed a heterogenous mass approximately 23 x 13 mm in extraconal compartment close to the insertion of the medial rectus (MR) muscle with few hyperechoic flecks (Figure 2).
MRI scan of orbit MRI of the orbit revealed a well-defined mass of approximately 23 x 13 mm along the medial rectus muscle.
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fig3
T1W and hyperintense on T2W images with very minimal contrast enhancement (Figure 3). The patient initially consulted a local ophthalmic surgeon elsewhere, where it was initially diagnosed as cysticercosis and treated with albendazole and oral steroids.
Histopathological section showing cavernous hemangioma.
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fig4
The histopathological examination revealed an intramuscular cavernous hemangioma (Figure 4).