Hemangioma intraoseo: reto diagnostico. Presentacion de un caso y revision de la literatura. Intraosseous hemangioma: A diagnostic challenge. Case report and review of the literature.
Background: Hemangiomas ar e benign vasoformative neoplasms of endothelial origin. Intraosseous hemangiomas are rare conditions that account for only 0.5 to 1% of all intraosseous tumors. The most common locations are the vertebral column and skull. Intraosseous hemangiomas of the jawbones are very rare. Two thirds of such tumors are located in the mandible, with a female to male ratio of 2:1. The aim of this article is to report a signifi cant case of a central hemangioma of large dimensions in the mandibular ramus on the right hand side, which was successfully treated by surgical resection and ligature of the nutritional vessels. Clinical case: A 14 year old male patient who presented a unilocular radiolucent area on the mandibular ramus on the righthand side. Clinically, diffuse swelling of the face was observed, which had resulted in asymptomatic facial asymmetry of 3 years' evolution. Conclusions: The importance of intraosseous hemangiomas of the jaw lies in their proximity to the teeth, which represents a high risk of bleeding in the event of any traumatism as a result of an attempted extraction. Due to their low incidence and unusual presentation, diagnosis of intraosseous hemangioma represents a signifi cant challenge.