The Teaching Point

Abdominal cystic lymphangiomas have a variable clinical presentation and should be included in the differential diagnosis when CT or MR imaging reveals a characteristic multi-septated, enhancing, thin-walled cystic mass. Complete surgical excision is the preferred intervention.






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Cystic lymphangioma of the lesser curvature of the stomach - case report

Free full text article: Cystic lymphangioma of the lesser curvature of the stomach - case report

Abstract
We report a case of a cystic lymphangioma arising from the lesser curvature of the stomach in a 16-year-old female who initially presented with abdominal pain, nausea, and emesis. Contrast enhanced computed tomography and magnetic resonance imaging revealed a large, thin-walled multicystic mass located anteromedial to the stomach, which was predominately supplied by the left gastric artery. Given the imaging appearance and location, a mesenteric cyst, specifically a cystic lymphangioma, was considered. Lymphangioma was the final pathological diagnosis after laparotomy with complete resection of the cystic abdominal mass.






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