Recurrent multiple cavernous hemangiomas of the orbit in association with systemic tumors

To report the clinical findings and management of multiple, recurrent cavernous hemangiomas of the orbit in a patient with concurrent liver involvement.

Interventional case report.

An analysis of clinical findings, radiology and treatment was conducted with a literature review.

A 35-year-old woman with blurry vision and proptosis was found to have multiple cavernous hemangiomas of the orbit. The tumors were excised completely without complication, and the patient subsequently regained her vision. Fifteen years later, the patient had recurrent, multiple cavernous hemangiomas in the same orbit. Further investigations for vague back pain revealed a presumed cavernous hemangioma in the liver and a presumed schwannoma arising from the neural foramen of the spine at the level of T2 through T4.

Multiple cavernous hemangiomas may recur after complete excision and may exist with concurrent systemic tumors.