Misdiagnosis of an organizing orbital hematoma – A confusing entity

Al‐Muharraqi, Mohammed A; Darwish, Abdullah; Alsaad, Sara

doi:10.1016/j.omsc.2020.100164

Cited by 1 publication

(12 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…37,76,77,81 Management As with other cystic lesions of the orbit, surgical excision is the mainstay of treatment for hematic cysts. 37,76 Though most cases resolve with excision, preoperative visual loss, EOM restriction, or globe displacement may persist even after successful removal, particularly in those arising from trauma. 37 ' Infectious and Inflammatory Cysts Dacryops Overview Dacryops, or lacrimal gland cyst, is a benign fluid-filled cystic mass arising from lacrimal tissue.…”

Section: Orbital Cephalocelementioning

confidence: 99%

“…This usually occurs in the setting of subclinical orbital hemorrhage and may present as a late complication of orbital trauma and/or reconstructive surgery 75,76 . Despite attempts to clarify diagnostic inconsistencies in the literature, hematic cysts remain a poorly defined clinical entity and are frequently misdiagnosed 76,77 . Several alternative terms, including subperiosteal orbital hematoma, hematocele, and blood cyst, have been used to describe this lesion previously 76,77 .…”

Section: Vascular Anomaliesmentioning

confidence: 99%

“…Though the exact pathogenesis is not well characterized, Al-Muharraqi et al 76 describes hematic cyst formation as a progression of a chronic fibrous granulomatous reaction to unabsorbed blood and blood degradation products. Over time, this leads to a reactive fibrosis and encapsulation of the collection by fibrous scar tissue, forming an organizing orbital hematoma 76 . Eventually, the pseudocystic lesion develops an epithelial or endothelial lining and progressively enlarges due to its hyperosmotic contents, which Al-Muharraqi et al 76 define as a true hematic cyst.…”

Section: Vascular Anomaliesmentioning

confidence: 99%

“…Over time, this leads to a reactive fibrosis and encapsulation of the collection by fibrous scar tissue, forming an organizing orbital hematoma 76 . Eventually, the pseudocystic lesion develops an epithelial or endothelial lining and progressively enlarges due to its hyperosmotic contents, which Al-Muharraqi et al 76 define as a true hematic cyst. Earlier definitions, however, consider the presence of epithelial or endothelial lining to exclude a diagnosis of hematic cyst, defining such lesions as an acute or chronic hematoma within a dermoid or lymphangioma 77,78 …”

Section: Vascular Anomaliesmentioning

confidence: 99%

“…As with other cystic lesions of the orbit, surgical excision is the mainstay of treatment for hematic cysts 37,76 . Though most cases resolve with excision, preoperative visual loss, EOM restriction, or globe displacement may persist even after successful removal, particularly in those arising from trauma 37 …”

Section: Vascular Anomaliesmentioning

confidence: 99%

See 4 more Smart Citations

Cystic Lesions of the Orbit

Cameron¹,

Tong²,

Patel³

et al. 2023

International Ophthalmology Clinics

View full text Add to dashboard Cite

Orbital cystic lesions encompass an array of congenital and acquired conditions with diverse aetiologies, ranging from benign, asymptomatic cysts to sight-threatening infectious or malignant disease. 1,2 They account for 14% to 21% of all orbital lesions. 2 Macroscopically, cystic lesions appear as saccular, fluid-filled structures encapsulated by a clearly demarcated wall. 1 They are commonly classified according to the cellular origin or etiology. 3,4 In a 2004 review of childhood orbital lesions, Shields and Shields 5 categorized cystic lesions by cellular origin (surface epithelium-derived, teratomatous, neural, secondary, infectious, and noncystic lesions with a cystic component). Another classification system, proposed by Kaufman et al, 6 in 1998, organizes cystic lesions by etiology; that is, congenital, acquired, or secondary cysts arising from adjacent structures. This review will expand upon the latter scheme, employing the following classifications; congenital (epithelial and nonepithelial), vascular, infectious and inflammatory, neoplastic, and miscellaneous. True cysts and cyst-like lesions, that is, those which appear cystic on imaging, will be covered, with a particular focus on the radiologic characteristics seen.Congenital lesions, such as dermoid cysts and orbital teratoma, generally present in infancy or early childhood and are usually benign; those which present later in life are more likely acquired, although lesions such as deep orbital dermoids may present in adulthood. [6][7][8] Clinical features vary depending on the size, depth, and aggressiveness of the underlying lesion. Superficial cysts often present with a painless,

show abstract