Cystic lymphangioma

Case contributed by Dr Jan Frank Gerstenmaier

Presentation

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 old
Gender: Female
CT

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.

X-ray

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
Case created: 12th Jan 2013
Last edited: 14th Feb 2016
Inclusion in quiz mode: Included

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