Abstract
We herein describe a case of a 20-year-old male, who presented with a large abdominal cyst. Repeated therapeutic aspiration of the cyst was followed by rapid recurrence. Preoperative imaging studies demonstrated a massive cyst occupying most of the abdomen. At laparotomy, a giant cyst (39 x 29 x 15cm) of the mesentery was found. It was attached to the anterior and posterior abdominal walls and extended from the undersurface of the liver to the urinary bladder. Histopathologic examination diagnosed the cyst as a cystic lymphangioma. Although mesenteric lymphangiomas are rare, especially in adults, they may sometimes present as painless increase of the abdominal girth and grow to an enormous size. Complete surgical removal is considered to be the procedure of choice.
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