Cystic lymphangioma of the gall-bladder: a case report.
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.
Ohba
K
K
Second Department of Internal Medicine, Nagoya City University Medical School, Japan.
Sugauchi
F
F
Orito
E
E
Suzuki
K
K
Ohno
T
T
Mizoguchi
N
N
Koide
T
T
Terashima
H
H
Nakano
T
T
Mizokami
M
M
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