Cystic lymphangioma

Case contributed by Dr Jan Frank Gerstenmaier


This patient presented with recurrent abdominal pain. On examination, there was tenderness and guarding. Bowel sounds were normal. No pyrexia. WCC and CRP were normal.

Patient Data

Age: 25 years
Gender: Female

CT abdomen and pelvis

CT abdomen with oral and intravenous contrast shows a left lower quadrant cystic mass with rim enhancement and fluid-fluid layering. The mass is apparently separate from solid organs, located in the mesentery. There is no bowel obstruction.


This patient had the following prior procedures:

Frontal chest radiograph shows minor vertebral anomalies in the upper dorsal spine, but it otherwise normal.

Orthopantomogram shows a solitary radiolucent lesion in the left maxilla. It has a thin sclerotic margin and there is mild impaction of the left upper molar teeth.

Case Discussion

Lymphangiomas are regarded as a congenital malformation of lymphatic vessels and lymphatic tissue.

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Case information

rID: 21249
Published: 12th Jan 2013
Last edited: 29th Apr 2020
Inclusion in quiz mode: Included

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