Unilateral parotid gland double hemangiomas in an infant: A rare case report

Parotid hemangiomas, the most common salivary gland tumors in pediatric patients, are rare vascular tumors that typically present within the first year of life and are more common in females. We report the case of a 3-month-old female infant with a palpable, soft, noncompressible swelling at the right mandibular angle, which became more prominent in the evening. Ultrasonography revealed a large, multilobulated, hypoechoic lesion within the right parotid gland, along with a smaller, similarly vascularized lesion, and MRI confirmed the presence of 2 hemangiomas. This case is notable as no previous reports describe double hemangiomas in the same parotid gland. Imaging techniques such as ultrasound and MRI were essential in the differential diagnosis, distinguishing hemangiomas from conditions like acute parotitis and cystic lymphatic lesions. Early recognition and accurate diagnosis of parotid hemangiomas are key to determining the appropriate management, with treatment options ranging from observation to pharmacological therapy or surgery depending on the size and complications. In this case, the patient was referred for beta-blocker therapy.