We describe the first reported case of an intracortical hemangioma of the m
andible in a 13-year-old Japanese girl. Panoramic radiography and CT demons
trated a small osteolytic lesion which had expanded and thinned the cortex
at the inferior border of the left mandible. The lesion enhanced on post-co
ntrast T1-weighted MRI. The diagnosis was confirmed by histopathology follo
wing block excision. Intracortical hemangioma should be considered in the d
ifferential diagnosis of radiolucent lesions of the mandible.