Spontaneous retrobulbar hematoma on serial computed tomography and magnetic resonance imaging: a case report
- 1Department of Radiology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea
- 2Department of Radiology, Ewha Womans University College of Medicine, Seoul, Korea
Abstract
An 83-year-old woman presented with a 10-day history of sudden-onset diplopia in the left eye, with no preceding trauma or anticoagulant use. Initial orbital magnetic resonance imaging (MRI) on day 10 revealed a well-circumscribed retrobulbar lesion along the left inferior rectus muscle. The lesion showed heterogeneous T1 hyperintensity, low-to-intermediate T2 signal, and no definite solid enhancement, raising concern for a hemorrhagic orbital mass or neoplasm. Serial noncontrast computed tomography (CT) on days 20 and 49 showed progressive decreases in lesion size and attenuation. Follow-up MRI on day 180 confirmed complete spontaneous resolution, with no residual abnormality or underlying neoplasm. This case demonstrates that serial CT and MRI can guide safe conservative management of spontaneous retrobulbar hematoma and help avoid unnecessary surgery in clinically stable patients.
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BibTeX
@article{yoon2026spontaneous,
title = {{Spontaneous retrobulbar hematoma on serial computed tomography and magnetic resonance imaging: a case report}},
author = {Ra Gyoung Yoon and Bo Eun Lee},
journal = {Ewha Medical Journal},
year = {2026},
month = sep,
doi = {10.12771/emj.2026.01501},
url = {https://doi.org/10.12771/emj.2026.01501},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Spontaneous retrobulbar hematoma on serial computed tomography and magnetic resonance imaging: a case report
AU - Ra Gyoung Yoon
AU - Bo Eun Lee
PY - 2026
DA - 2026/09/21
JO - Ewha Medical Journal
DO - 10.12771/emj.2026.01501
UR - https://doi.org/10.12771/emj.2026.01501
AB - An 83-year-old woman presented with a 10-day history of sudden-onset diplopia in the left eye, with no preceding trauma or anticoagulant use. Initial orbital magnetic resonance imaging (MRI) on day 10 revealed a well-circumscribed retrobulbar lesion along the left inferior rectus muscle. The lesion showed heterogeneous T1 hyperintensity, low-to-intermediate T2 signal, and no definite solid enhancement, raising concern for a hemorrhagic orbital mass or neoplasm. Serial noncontrast computed tomography (CT) on days 20 and 49 showed progressive decreases in lesion size and attenuation. Follow-up MRI on day 180 confirmed complete spontaneous resolution, with no residual abnormality or underlying neoplasm. This case demonstrates that serial CT and MRI can guide safe conservative management of spontaneous retrobulbar hematoma and help avoid unnecessary surgery in clinically stable patients.
SN - 2234-3180
SN - 2234-2591
ER -