title: Cystic lymphangioma of the gall-bladder: a case report.
abstract: Intra-abdominal cystic lymphangiomas are rare lesions that can be difficult to diagnose. We present a report of a patient with a giant multilocular cystic lesion in the abdomen. Ultrasonography and computed tomography scans of the abdomen revealed that the cyst had originated in the gall-bladder fossa. There was some calcification and thickening of the cyst wall. Endoscopic retrograde cholangiopancreatography demonstrated a medially deviated common bile duct, an elongated cystic duct and an inferior compressed gallbladder. There was no apparent communication between the cyst and the biliary tract; however, an abdominal angiogram revealed that the lesion was supplied by a branch of the cystic artery. Histological findings obtained intra-operatively were consistent with a cystic lymphangioma. Its characteristic histology was observed in the subserous layer of the gall-bladder. This case is a rare instance of a cystic lymphangioma originating in the gall-bladder.
authors.affiliation: Second Department of Internal Medicine, Nagoya City University Medical School, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Ohba
authors.forename: F
authors.initials: F
authors.lastname: Sugauchi
authors.forename: E
authors.initials: E
authors.lastname: Orito
authors.forename: K
authors.initials: K
authors.lastname: Suzuki
authors.forename: T
authors.initials: T
authors.lastname: Ohno
authors.forename: N
authors.initials: N
authors.lastname: Mizoguchi
authors.forename: T
authors.initials: T
authors.lastname: Koide
authors.forename: H
authors.initials: H
authors.lastname: Terashima
authors.forename: T
authors.initials: T
authors.lastname: Nakano
authors.forename: M
authors.initials: M
authors.lastname: Mizokami
mesh_terms: D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D005706:Gallbladder Neoplasms / Q000175:diagnosis*; D006801:Humans; D018191:Lymphangioma, Cystic / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed