Intraabdominal cystic lymphangioma

Lymphangiomas are benign malformations of lymphatic vessels that are most typically discovered in the pediatric population. The incidence is estimated to be less than 1 in 100,000 individuals [1]. The majority occur in the head and neck. They are less commonly found in the abdominal cavity, varying from <3% to 9.2% [2], [3]. Less than 1% of all cases of lymphangiomas occur in the retroperitoneum [4]. Varying clinical presentation can lead to misdiagnosis or delay in treatment. Lymphangioma should be considered when imaging reveals any unexplainable cystic mass. Lymphangioma is usually treated with surgical excision. We present a case report of a 5-year-old boy who presented to our community hospital with progressive increase in abdominal girth and early satiety over several months.