A Case of Orbital Organizing Hematoma Presenting as a Chalazion.

Kim, Eun Woo; Lee, Min Joung

doi:2013.54.12.1918

J Korean Ophthalmol Soc > Volume 54(12); 2013 > Article

Case Report

Journal of the Korean Ophthalmological Society 2013;54(12):1918-1922.
DOI: https://doi.org/10.3341/jkos.2013.54.12.1918 Published online December 13, 2013.

A Case of Orbital Organizing Hematoma Presenting as a Chalazion.

Eun Woo Kim, Min Joung Lee

Department of Ophthalmology, Hallym University College of Medicine, Anyang, Korea. tweeti2@hanmail.net

콩다래끼로 오인된 안와 기질화 혈종 1예

김은우⋅이민정

Department of Ophthalmology, Hallym University College of Medicine, Anyang, Korea

Abstract

PURPOSE
Organizing hematomas (hematic pseudocysts) of the orbit are usually the consequence of direct blunt trauma and are important in the differential diagnosis of orbital cystic lesion. Herein, we report a case of orbital organizing hematoma masquerading as a chalazion. CASE SUMMARY: A 12-year-old female visited our clinic complaining of left lower eyelid swelling. CT scan and MR imaging showed a mass detected in the inferomedial space of her left orbit, which did not invade the adjacent tissue. Excisional biopsy of the orbital mass was performed. Histological examination showed the accumulation of blood-breakdown products within a thick fibrous capsule without epithelial or endothelial lining. The mass was diagnosed as an organizing hematoma. CONCLUSIONS: An orbital organizing hematoma can present, although rare, as a chalazion-like eyelid mass. Careful clinical and radiological examinations can help in making a differential diagnosis.

Key Words: Chalazion;Hematic pseudocyst;Orbit;Organizing hematoma