AJDRAJNR - American Journal of Neuroradiology

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Case Report
HEAD AND NECK

Resection of an Orbital Lymphangioma with the Aid of an Intralesional Liquid Polymer

Amit D. Malhotraa, Mona Parikhb, Daniel C. Garibaldib, Shannath L. Merbsb, Neil R. Millerb and Kieran Murphya

a Russell H. Morgan Department of Radiology, The Johns Hopkins Hospital, Baltimore, MD
b Wilmer Eye Institute, Baltimore, MD

Address correspondence to K. Murphy, MD, Interventional Neuroradiology, Radiology Basement, B-100, The Johns Hopkins Hospital, 600 N. Wolfe St., Baltimore, MD

Summary: A 28-year-old man with long-standing right proptosis presented with an extensive multilobulated partially cystic orbital mass thought to be a lymphangioma. Because of concern that excision or debulking of the lesion was likely to be complicated by excessive bleeding, the lesion was injected with a mixture of ethiodized oil (Ethiodol) and cyanoacrylate glue under direct observation. The mixture caused the injected lobules to assume a firm, rubbery texture, allowing them to be excised without bleeding.