Fronto-orbital infantile haemangioma: case report and literature review

Abstract

Background: Haemangiomas are a benign overgrowth of blood vessels in the skin, made up of cells that form the inner lining of blood vessels. They are soft, elevated swellings on the skin, often characterised by a bright, red surface. Objective: The paper aims to report a rare case of fronto-orbital haemangioma and review relevant literature. Case presentation: We managed a five-month-old female child who presented with fronto-orbital swelling noticed since birth, and progressive growth has become worrisome to the mother. On examination, it is a bluish mass with slightly discoloured overlying skin, lobulated, non-tender, non-pulsatile, soft, blanching, and compressible. The child was optimised and offered total excision. Histopathological assessment confirmed a cavernous haemangioma. The mother reported an excellent cosmetic appearance. Conclusion: Cavernous haemangioma in infants may require surgical excision if rapid growth is observed, with a good cosmetic and psychological outcome.