A rare case of complex angiomatous cyst with features of lymphangio-hemangioma in a child

Abstract

A 3-year-old child was brought into the outpatient department with abaxial proptosis and inferior dystopia in the right eye. A computed tomography scan showed an isodense mass in the superomedial quadrant involving both intra- and extraconal space. Orbitotomy was done, and mass was removed in toto. Histopathological examination showed a mixture of vascular and lymphatic elements suggestive of complex angioma. The lesion was diagnosed as lymphangio-hemangioma based on the dominance of lymphatic tissue. Detailed differentiation of the type of vascular lesions is important because it may influence treatment considerably.

Keywords

• complex angioma
• lymphangio-hemangioma
• vascular tumors of orbit