TH is a 9-year-old boy who was picked up from day care by his mother when she noted that his right eye was quite red with prominent swelling and redness of the eyelids. He was somewhat uncomfortable so she proceeded directly to the emergency room. An ophthalmologist was called to examine the child and his differential diagnosis included orbital cellulitis and rhabdomyosarcoma. The operating room was notified and the boy was tentatively scheduled for orbital exploration and biopsy, but he was referred for echography prior to surgery.
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