Orbital venous varix

Case contributed by Frank Gaillard
Diagnosis almost certain

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

On pre-contrast imaging soft tissue density/vascular density tissue fils the orbital apex. On venous phase imaging, this area opacifies like adjacent veins and demonstrates enlargement due to straining (Valsalva maneuver). Note the resulting proptosis. Features are consistent with an orbital venous varix.

Case Discussion

Orbital venous varix is an uncommon vascular malformation which is composed of enlarged single or multiple tubular venous channels with direct communication to the systemic venous system. 

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