Rapidly enlarging acquired capillary hemangioma of the eyelid.

Pujari A, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-219777 DESCRIPTION Case description Case 1: A 10-year-old female presented with a 2-week history of a small reddish mass on her right upper eyelid. Her past history was otherwise uneventful. Ocular examination and visual acuity were both normal. The right upper eyelid showed a small reddish mass measuring about 2×2 mm approximately 1 mm from the eyelashes and at the junction of the medial two thirds and lateral one third of the eyelid (figure 1, top panel). The patient was kept under observation as the mass was small, but it rapidly increased in size over the next 2 weeks (figure 1, middle panel). Complete surgical excision was performed after the stalk was clamped and the bleeding blood vessel at the base was cauterised, followed by closure of the skin with 6–0 silk. A cosmetically acceptable result was achieved after 2 weeks (figure 1, bottom panel). Case 2: A 35-year-old man presented with a 4-week history of a rapidly enlarging pink to red coloured swelling on his right upper eyelid (figure 2, top panel). Ocular examination of both eyes was normal. However, the right upper eyelid showed a well-defined red swelling measuring around 10×10 mm with blackish discolouration at the tip due to necrosis. The patient underwent complete surgical excision after the stalk was clamped and the base was cauterised. Because it was a large defect and to avoid ectropion, a full thickness skin graft was harvested from the post-auricular area (figure 2, bottom panel).