| Cystic lymphangioma is a rare tumour, frequently | | | | Acute symptoms normally include intense abdominal |
| situated in the cervical or axillary region and | | | | pain and distension, vomiting, fever and peritonitis. |
| exceptionally intraabdominal. It is essentially a | | | | Although an abdominal lymphangioma is considered |
| malformation of one of the abdominal lymph vessels | | | | harmless, it may get locally intrusive. Therefore any |
| where a portion is dilated and form a lymph fluid-filled | | | | involved organ must too be resected. Incomplete |
| cyst. Abdominal lymphangiomas are more common in | | | | resection may head to recurrence. If the patient was |
| boys and usually occur in childhood. It arises due to a | | | | treated with marsupialization, closer follow-up for |
| congenital defect in the connection of the primary | | | | potential recurrence should be instituted. Otherwise, |
| lymphatic channels with the central collecting system. | | | | no long-term follow-up for postoperative problems is |
| It presents clinically either in the form of a | | | | needed. Intraabdominal lymphangiomas are harmless |
| pseudo-appendix or pseudo-ascites syndrome or in | | | | lesions but considering their local intrusive holding |
| the form of an abdominal tumour with or without | | | | comprehensive resection of the cyst along with |
| compression of adjacent structures. The clinical | | | | involved organ and clinical and radiological come |
| symptoms are variable. Chronic symptoms include | | | | upward for recurrence is needed. |
| chronic abdominal pain and progressive abdominal | | | | The prognosis of lymphangiomas depends on the |
| distension. | | | | position and extent of the lesion and the presence of |
| Cysts are thought to originate from lymphatic spaces | | | | new associated abnormalities. Genetic syndromes |
| associated with the immature retroperitoneal lymph | | | | that are associated with cystic hygroma include |
| sac, making them similar to cystic hygromas, which | | | | Turner syndrome and some trisomies e. g. trisomy |
| originate in the neck in association with the jugular | | | | 13, 18 and 21. Complete resection is the treatment of |
| lymph sac. Another proposed etiology is lymphatic | | | | choice and has an excellent prognosis. Although an |
| interference. The tumor is a hamartoma or vascular | | | | abdominal lymphangioma is considered benign, it may |
| developmental anomaly arising from lymphatic | | | | become locally invasive. Although an abdominal |
| vessels, manifesting as a raised, tender, bushy, | | | | lymphangioma is considered benign, it may become |
| bubbly, pinkish-white lesion; esthetic considerations | | | | locally invasive. Therefore any involved organ must |
| may justify attempted removal of lymphangiomas. | | | | also be resected. Incomplete resection may lead to |
| Mesenteric and omental cysts can be easy or dual, | | | | recurrence. Treatment is well defined and consists of |
| unilocular or multilocular, and they may carry | | | | surgical resection of the isolated lymphangioma or |
| hemorrhagic, serous, chylous, or contaminated fluid. | | | | associated with the adjacent intestine, depending on |
| The fluid is serous in ileal and colonic cysts and is | | | | the site of the tumour. It has a good prognosis. |
| chylous in jejunal cysts. | | | | |