Orbital Subperiosteal and Epidural Hematomas from Sickle Cell Bone Infarcts

Orbital subperiosteal and epidural hematomas can occur secondary to sickle cell bone infarcts, as shown in a 6-year-old boy with progressive eye swelling. Contrast-enhanced CT and MRI help make the diagnosis.

• Sickle cell bone infarcts can extend to cause orbital subperiosteal and epidural hematomas.
• Imaging with CT and MRI is essential to evaluate the extent of hemorrhage and underlying infarcts.
• This rare complication should be considered in sickle cell patients presenting with acute eye swelling or proptosis.

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