Mesenteric cystic lymphangioma in an adult female - a case report
DOI:
https://doi.org/10.59736/IJP.24.02.1062Keywords:
Histopathology, lymphangioma, Mesenteric CystAbstract
Background: Lymphangiomas are benign vascular proliferations composed of malformed lymphatics, located in the head, neck, and axilla. Incidence in adults and at the retroperitoneal location is rare.
Case presentation: We present a 34-year woman with a 7-day history of abdominal distention, colicky pain, and vomiting. Physical examination shows a non-tender, diffusely enlarged abdomen and absent bowel sounds. She underwent a magnetic resonance imaging (MRI), which confirmed 18.0 x 14.3 x 8.5 cm, multi-loculated mass extending along the mesentery of the small intestine. On histopathological examination cystic lymphangioma was the final diagnosis. Cystic lymphangioma is an unusual lesion associated with genetic and chromosomal abnormalities. Radiological investigations play a key role in pre-operative diagnosis. Final diagnosis can be obtained only after histopathological evaluation.
Conclusion: This report adds to current knowledge on this pathology in atypical sites by providing thorough insights into clinical aspects, MRI results, and the histopathological correlation.
References
Alfadhel SF, Alghamdi AA, Alzahrani SA. Ileal volvulus secondary to cystic lymphangioma: a rare case report with a literature review. Avicenna J Med. 2019;9(2):82-5.
Colangeli W, Facchini V, Kapitonov A, Zappalà M, Bozza F, Becelli R. Cystic lymphangioma in an adult: a case report and a review of the literature. J Surg Case Rep. 2020;2020(7): rjaa179.
Thiam O, Faye PM, Niasse A, Seye Y, Gueye ML, Sarr IS, et al. Cystic mesenteric lymphangioma: a case report. Int J Surg Case Rep. 2019; 61:318-21.
Barma A, Kunwar S, Yadav NK, Karn M. Unusual cystic hygromas: case report. Int J Surg Case Rep. 2024; 116:109368.
Chowdhury MA, Ahmed S, Haider MZ, Ahmed N, Haque AF, Aktar N, et al. Unusual presentation of a large multi-septated cystic hygroma: a case report and comprehensive literature review. Surg Sci. 2023;14(7):486-95.
Romeo V, Maurea S, Mainenti PP, Camera L, Aprea G, Cozzolino I, et al. Correlative imaging of cystic lymphangiomas: ultrasound, CT and MRI comparison. Acta Radiol Open. 2015;4(5):2047981614564911.
Black T, Guy CD, Burbridge RA. Retroperitoneal cystic lymphangioma diagnosed by endoscopic ultrasound-guided fine needle aspiration. Clin Endosc. 2013;46(5):595.
Rowe SP, Bishop JA, Prescott JD, Salvatori R, Fishman EK. CT appearance of adrenal cystic lymphangioma: radiologic-pathologic correlation. AJR Am J Roentgenol. 2016;206(1):81-5.
Levy AD, Cantisani V, Miettinen M. Abdominal lymphangiomas: imaging features with pathologic correlation. AJR Am J Roentgenol. 2004;182(6):1485-91.
Trinh CT, Tran NT, Vo BT, Van HA, Hoang VT, Nguyen MD. A case of retroperitoneal lymphangioma in an adult. Hum Pathol Case Rep. 2021; 24:200511.
Raufaste Tistet M, Ernst O, Lanchou M, Vermersch M, Lebert P. Imaging features, complications and differential diagnoses of abdominal cystic lymphangiomas. Abdom Radiol (NY). 2020;45(11):3589-607.
Joshi PS, Hongal B, Sanadi A. Cystic lymphangioma: a differential diagnosis. J Oral Maxillofac Pathol. 2015;19(3):393-5.
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Copyright (c) 2026 Motia Kanwal, Shahid Jamal, Hafsa Wasim, Amat ul Naval, Nehaj Tariq

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