Giant cystic lymphangioma of the liver

Abstract

Background: Giant cystic lymphangiomas of the liver are rare malformations of the lymphatic system usually found in children.

Case presentation: A 35-year-old man presenting with right upper quadrant abdominal pain for 7 months visited our clinic. Ultrasound, CT, and MRI examination demonstrated a giant cystic mass in the right trisegment of the liver. The patient underwent surgical resection and histological results of the resected specimen confirmed the diagnosis of giant cystic lymphangioma. The right upper quadrant abdominal pain subsided after the surgical resection and the patient recovered well.

Conclusion: Surgical resection is an effective therapy in treating giant cystic lymphangioma.

Keywords: Abdominal pain; Hepatic; Lymphangioma; Surgical treatment.

Fig. 1

Coronal cover of T-2 weight MRI showing a giant cystic mass involving segment IV, V, VI, VII, VIII of the liver

Fig. 2

The resected tumor and gallbladder (see arrow). The gallbladder contained gallstones

Fig. 3

Microscopically the lesion consisting of multiple cystic spaces lined by a layer of cells, morphologically consistent with mature differentiation endothelium. (H&E, ×200)