Cystic lymphangioma

Case contributed by 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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.