Hemangioma with Phleboliths in the Floor of the Mouth Presenting as a Submental Swelling: A Case Report

Abstract

A painless, soft swelling in the submental area usually indicates the presence of a thyroglossal duct cyst, congenital sublingual dermoid cyst, amyloidosis, ranula, or cystic hygroma. We described a case of relatively rare hemangioma with multiple phleboliths in the floor of the mouth presenting as a submental swelling. We report a case of 17-year-old Japanese female who presented with the mass in the submental region that had been slowly growing for several years. The doppler ultrasonography revealed blood flow in the region. Computed tomography (CT) showed several round calcified foci, and magnetic resonance imaging (MRI) revealed a 20 x 45 mm lesion in the floor of the mouth. The lesion had high intensity on T2-weighted images and isointensity with muscle on T1-weighted images. Therefore, preoperative diagnosis has truly been established, although hemangioma with multiple phleboliths in the floor of the mouth presenting as a submental swelling is relatively rare.




J Med Cases. 2011;2(1):28-30
doi: https://doi.org/10.4021/jmc108w