Bleed into Lymphangioma

LL is a 25-year-old woman who presented with the sudden onset of pain around her right eye and noted a “blood blister” under the upper eyelid with some lid ecchymosis. Echography revealed widening, echolucency, and low reflectivity of the subperiosteal space (Fig. 149). She was treated with cold compresses and the discontinuation of aspirin products. Follow-up ultrasound demonstrated a multicystic lesion consistent with an orbital lymphangioma or orbital varix. She had a history of a similar lesion under her tongue.