Post traumatic temporalis muscle hemangioma

Hemangioma accounts for 7% of total tumors of soft tissue in which 0.8% is intramuscular. Only 17% of the intramuscular hemangioma are posttraumatic at any site. There are only 23 case reports of temporalis muscle hemangioma and among these there is only one case report of posttraumatic hemangioma of the temporalis muscle in the available literature. Here we report a second case of posttraumatic temporalis muscle hemangioma in a 30-year-old female who presented with 4-year long history of progressive enlarging and painful swelling on the left temporal region following blunt injury in the same region. The mass was completely removed and histopathological examination showed cavernous hemangioma, so it should always be considered in the differential diagnosis of unexplained pain and swelling of muscle. Magnetic resonance imaging (MRI) is investigation of choice but computed tomography (CT) carotid angiography is superior choice with high flow type as it not only gives detail of a lesion but also shows arterial feeder and draining veins, which help in surgical planning as in our case.