Adrenal Cystic Lymphangioma with Radiological, Clinical and Histopathological Findings, Case report.

Abstract

Cystic lymphangiomas are benign lesions originating from lymphatic endothelial cells. It occurs due to developmental anomalies of lymphatic vessels. They are usually localized in the head and neck region. Cystic lymphangiomas of adrenal origin are very rare. This presentation aims to report a case of left-sided adrenal cystic lymphangioma detected incidentally on radiological examination due to abdominal pain, with clinical, radiological, and pathological findings. A 65-year-old female patient was admitted to our clinic with abdominal pain. In the abdominal examination, the pain was detected in the epigastric region and left the upper quadrant with palpation. No pathology was observed in the complete blood count and biochemical parameters, except for a CRP elevation of 10.2 mg/dL. In examination with ultrasonography (US), in the left upper quadrant of the abdomen, in the localization of the adrenal gland, a multilocular cystic lesion with partially dense contents, which is not vascularised by Doppler US, containing thin echogenic septa was detected. Enhanced contrast multidetector computed tomography was performed to determine the nature and characterization of the mass. A 60x57 mm cystic lesion with multi-lobulated contour and fluid density was defined in the left adrenal gland. The patient was diagnosed with cystic lymphangioma radiologically and was operated upon due to symptoms and size. Pathological diagnosis was reported as cystic lymphangioma. Preoperative clinical and radiological correct diagnosis is critical because the treatment approach and prognosis may differ from other adrenal tumors or cysts.