Neuroblastoma presenting as ocular ecchymosis in a child
The following case has been published in the Oman Journal of Ophthalmology. A 10-month-old male child presented in our pediatric ophthalmology clinic with “raccoon eyes,” subconjunctival hemorrhage, proptosis, and swelling around both ears. The mother informed that the infant had been very irritable for 1 week and had developed this symptom recently which has been rapidly progressive.

Computed tomography of the head and orbit revealed lytic destruction of bones with hair on end-type periosteal new bone formation and also soft-tissue mass causing mass effect on globe. A mass lesion was also seen in left lateral ventricle, suggesting metastasis from small round cell tumor (neuroblastoma).

Abdominal ultrasound showed heteroechoeic soft-tissue mass lesion of size 4.5 cm × 4.13 cm in the left suprarenal region displacing left kidney inferolaterally.

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