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
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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.
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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.