title: Retroperitoneal cystic lymphangioma in an adult: A case report and review of the literature.
abstract: Lymphangiomas are rare benign cystic tumors of the lymphatic system. Retroperitoneal lymphangiomas account for 1% of all lymphangiomas, and approximately 186 cases have been reported. They may clinically present as a palpable abdominal mass and can cause diagnostic dilemmas with other retroperitoneal cystic tumors, including those arising from the liver, kidney and pancreas. This report describes the rare case of a cystic retroperitoneal lymphangioma in a 54-year-old male patient. The lymphangioma had progressed to the point of inducing clinical symptoms of abdominal distention, abdominal pain, anorexia, fever, nausea and diarrhea. Radiological imaging revealed a large multiloculated cystic abdominal mass with enhancing septations involving the upper retroperitoneum and extending into the pelvis. Surgical removal of the cyst was accomplished without incident. A benign cystic retroperitoneal lymphangioma was diagnosed on histology and confirmed with immunohistochemical stains.
authors: Tapan Bhavsar, Daryoush Saeed-Vafa, Susan Inniss, Department of Pathology and Laboratory Medicine, Temple University Hospital, Philadelphia, PA 19140, United States.
authors: Tapan
authors: T
authors: Bhavsar
authors: Daryoush
authors: D
authors: Saeed-Vafa
authors: Sean
authors: S
authors: Harbison
authors: Susan
authors: S
authors: Inniss
references: J Comput Assist Tomogr. 1989 May-Jun;13(3):534-6
references: 2656785
references: Br J Surg. 1989 May;76(5):485-9
references: 2660949
references: Am J Gastroenterol. 1978 Apr;69(4):485-90
references: 685957
references: Asian J Surg. 2006 Jan;29(1):51-4
references: 16428102
references: AJR Am J Roentgenol. 2001 Nov;177(5):1090
references: 11641176
references: Anesth Analg. 2003 Jun;96(6):1805-1808
references: 12761016
references: Ultrasound Obstet Gynecol. 2002 Aug;20(2):205-6
references: 12153677
references: Semin Pediatr Surg. 1994 May;3(2):62-9
references: 8062058
references: Radiographics. 2004 Sep-Oct;24(5):1353-65
references: 15371613
references: Eur J Surg Oncol. 1997 Aug;23(4):322-6
references: 9315061
references: Clin Radiol. 2001 Feb;56(2):156-8
references: 11222077
references: Br J Radiol. 1985 May;58(689):467-9
references: 4063699
references: Br J Surg. 1998 Mar;85(3):395-7
references: 9529502