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Thrombosed orbital varix -- a correlation between imaging studies and histopathology
Smita V Menon1, Debraj Shome, Lakshmi Mahesh
1Medical & Vision Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India.
Orbit (Amsterdam, Netherlands)
|October 30, 2004
Summary
A rare thrombosed orbital varix causing proptosis was diagnosed using computed tomography (CT) scans and histopathological examination (HPE). This case highlights the importance of advanced imaging and biopsy for accurate diagnosis of orbital vascular malformations.
Area of Science:
- Ophthalmology
- Radiology
- Pathology
Background:
- Orbital vascular lesions, such as varices, can present with proptosis, a bulging of the eye.
- Clinical diagnosis of orbital lesions can be challenging due to overlapping symptoms.
Observation:
- A 45-year-old male presented with proptosis of the left eye.
- Initial clinical examination was insufficient for a definitive diagnosis.
Findings:
- Computed tomography (CT) scan of the orbit revealed findings consistent with a thrombosed varix.
- Excision biopsy followed by histopathological examination (HPE) confirmed the diagnosis of a thrombosed orbital varix.
Implications:
- Radiological investigations, particularly CT scans, are crucial for diagnosing thrombosed orbital varices.
- Thrombosed orbital varix should be considered in the differential diagnosis of proptosis.
- A multidisciplinary approach involving radiology and pathology is essential for accurate diagnosis and management.