Retroperitoneal lymphatic malformation

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for abdominal pain.

Patient Data

Age: 55 years
Gender: Male

A 62×60 mm thin walled nonenhanced cystic lesion is present in pre aortocaval regions inferior to the pancreatic head. A few focal septal calcifications are noted within.

A few nonenhanced simple cortical cysts are seen in both kidneys. 

The prostate gland is enlarged.

Case Discussion

Features are most consistent with retroperitoneal lymphatic malformation, also known as lymphangioma, a rare benign cystic lesion of vascular origin.

Only about 1% of all lymphatic malformations occur in the retroperitoneal space.

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