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IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain


Erectile hemangioma: A case report with review of literature


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Author Details: Nikhil M Pradeep, Viswanathan V Kollengode, Anoop Sivakumar, Meer M Chisthi

Volume : 3

Issue : 1

Online ISSN : 2581-5229

Print ISSN : 2581-5210

Article First Page : 26

Article End Page : 29


Abstract

Introduction: Intra-masseteric hemangioma is also known as Erectile Hemangioma because the swelling becomes prominent when the patient masticates. It is a rare benign vascular neoplasm with very limited reports in literature. MRI scan is considered the investigation of choice. Surgical excision is the main modality of treatment.
Case Report: We present a case of 42 year old male who presented with swelling over left side of face near parotid region. On evaluation the patient was found to have hemangioma clinically. After imaging the swelling was suspected to be intra-parotid or intra-masseteric hemangioma. The patient underwent excision of swelling along with parotidectomy on the affected side. Pathological examination confirmed the diagnosis of hemangioma within the masseteric tissue.
Discussion: Surgeons should always consider the possibility of a vascular lesion in the case of patients who present with a compressible swelling in the parotid region especially when there is accompanying pain. Special care has to be taken before sending the patient for a needle biopsy as there can be torrential bleeding. Surgical excision is curative for this disease.

Keywords:
Intramuscular; Hemangioma; Erectile hemangioma; Masseter; Parotid