Retroperitoneal lymphangioma as the final diagnosis of a middle-aged woman with abdominal pain: a case report

J Med Case Rep. 2023 Mar 15;17(1):93. doi: 10.1186/s13256-023-03803-6.

Abstract

Background: Lymphangiomas are lesions attributed to congenital malformations of the lymphatic system, or acquired chronic obstruction of the lymphatic network due to trauma, radiation, surgical manipulation, inflammation, or infection. Overall, lymaphangiomas are rare, and particularly, retroperitoneal lymphangiomas are far more uncommon per reported cases.

Case presentation: A 49-year-old Iranian woman presented with a progressive abdominal pain since approximately 1 month before admission. She was found to have a retroperitoneal lymphangioma after a precise radiological and surgical workup.

Conclusion: Retroperitoneal lymphangiomas are rare lesions, sometimes indistinguishable from malignant lesions originating from pancreas and adjacent organs. Complete surgical removal and histologic evaluation of the lesion is the gold standard of treatment and diagnosis.

Keywords: Pancreatic cystic neoplasm; Pancreatic ductal adenocarcinoma; Retroperitoneal lymphangioma.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Female
  • Humans
  • Iran
  • Lymphangioma* / diagnosis
  • Lymphangioma* / diagnostic imaging
  • Lymphangioma, Cystic* / diagnosis
  • Lymphangioma, Cystic* / diagnostic imaging
  • Middle Aged
  • Pancreas / pathology