# A challenging case of solitary fibrous tumor of the orbit in an anemic patient

## TL;DR

This paper describes a rare case of a large eye tumor successfully removed with minimal bleeding in an anemic patient.

## Contribution

The case demonstrates effective surgical techniques for removing vascular tumors in anemic patients.

## Key findings

- A large intraconal tumor was safely excised with minimal blood loss.
- Histopathology confirmed the diagnosis of a solitary fibrous tumor.
- Careful surgical planning is critical for managing high-risk anemic patients.

## Abstract

We report a problematic case of solitary fibrous tumor of the orbit in an anemic patient who presented with painless, progressive outward protrusion of the right eye. Magnetic resonance imaging (MRI) orbit and brain with contrast showed a well-defined intraconal lesion in the superomedial aspect of the right orbit. The lesion was excised using a vertical eyelid split orbitotomy with minimal blood loss. Histopathological and immunohistochemical examination showed the features of a solitary fibrous tumor. This case highlighted that with careful surgical planning, total removal of a large vascular tumor could be done with less bleeding, especially in an anemic patient in whom an iota of hemorrhage was life-threatening.