Author(s): Dr. Gagan Deep, Dr. Suhitha Gajanthody, Dr. Ashraf Ahmad and Dr. PSM Ameer Ali
Abstract: Background: Lymphangiomas are isolated malformation of lymphatic vessels. 65% of cystic lymphangiomas occur at birth, with 90% occurring in patient aged <2years, commonly found in the neck, axilla and rarely seen in abdomen. Case Presentation: A 14year old female child presented with complains of colicky abdominal pain in the past 5 days, localized to the peri-umbilical region. On examination patient had tenderness in the umbilical region. Ultrasonogram of abdomen probably an infected mesenteric cyst. CECT abdomen done d/d – enteric duplication cyst, mesenteric cyst, choledochal cyst. Patient underwent a laparotomy and complete cyst excision. Patient had an uneventful post-operative recovery and was discharged on day 5. Histopathology of the swelling was suggestive of cystic lymphangioma.Conclusion: Abdominal Lymphangiomas is a rare condition which is usually asymptomatic and incidentally diagnosed. We are reporting this case because of its rare location that is retroperitoneal paraduodenal, closely mimicking duplication cyst and with varied differential diagnosis, which has different management options.
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