American Journal of Neuroradiology 26:2630-2634, November-December 2005
© 2005 American Society of Neuroradiology
Case Report
HEAD AND NECK
Resection of an Orbital Lymphangioma with the Aid of an Intralesional Liquid Polymer
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.