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Case Reports in Surgery
Volume 2015 (2015), Article ID 732531, 4 pages
http://dx.doi.org/10.1155/2015/732531
Case Report

Retroperitoneal Lymphangioma in an Adult: A Case Report of a Rare Clinical Entity

1Department of Surgical Oncology, Ward Nos. 6 and 8, Unit 1, Pt.B.D.Sharma, PGIMS, Rohtak, Haryana 124001, India
2Department of Surgery, Pt.B.D.Sharma, PGIMS, Rohtak, Haryana 124001, India
3Department of Surgery and Surgical Oncology, Pt.B.D.Sharma, PGIMS, Rohtak, Haryana 124001, India
4Department of Urology, Pt.B.D.Sharma, PGIMS, Rohtak, Haryana 124001, India

Received 4 January 2015; Revised 9 March 2015; Accepted 10 March 2015

Academic Editor: Gabriel Sandblom

Copyright © 2015 Mayank Tripathi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Retroperitoneal lymphangioma is a rare, benign mesodermal tumor arising from the retroperitoneal lymphatics which usually presents in infancy and it is worthy to report a case when it has presented in an adult. After a thorough literature search in English we concluded that less than 200 cases of adult retroperitoneal lymphangioma have been reported so far. Apart from being a rare entity it also presents as a diagnostic dilemma and final diagnosis is often made on surgical exploration. Case Presentation. We report a case of retroperitoneal lymphangioma in a 55-year-old male who presented with abdominal distension and dull aching abdominal pain. Conclusion. Retroperitoneal lymphangiomas are rare tumors of infancy but may also present in adults where they are a diagnostic challenge. Differentiating cystic lymphangiomas from other cystic growths by imaging studies alone are often inconclusive and surgery is frequently required for definitive diagnosis and to ameliorate the symptoms.