Adrenal cystic lymphangioma

Case contributed by Domenico Nicoletti , 14 Oct 2020
Diagnosis certain
Changed by Mostafa Elfeky, 14 Oct 2020

Updates to Case Attributes

Age changed from 40 to 40 years.
Presentation was changed:
Left adrenal mass. Incidental finding. 40-year-old man admitted to the hospital, complaining of weakness, putting on weight, and lumbago. His laboratory findings are within normal limits.
Body was changed:

Lymphangiomas can occur in a variety of locations within the body. It is commonly found in the neck, axillary region, and mediastinum. Cystic lymphangioma is an uncommon lesion in the adrenal gland. Lymphangiomas arise from abnormal proliferation of the lymphatic vessels. Maybe to result from a blockage of lymphatic flow with development of lymphangiectasis.

Case courtesy: Dr.ssa Chiara Gennari

  • -<p>Lymphangiomas can occur in a variety of locations within the body. It is commonly found in the neck, axillary region, and mediastinum. Cystic lymphangioma is an uncommon lesion in the adrenal gland. Lymphangiomas arise from abnormal proliferation of the lymphatic vessels. Maybe to result from a blockage of lymphatic flow with development of lymphangiectasis.</p><p> </p><p>Case courtesy: Dr.ssa Chiara Gennari</p>
  • +<p>Lymphangiomas can occur in a variety of locations within the body. It is commonly found in the neck, axillary region, and mediastinum. <a title="Cystic lymphangioma" href="/articles/cystic-hygroma-1">Cystic lymphangioma</a> is an uncommon lesion in the adrenal gland. Lymphangiomas arise from abnormal proliferation of the lymphatic vessels. Maybe to result from a blockage of lymphatic flow with development of lymphangiectasis.</p><p> </p><p>Case courtesy: Dr.ssa Chiara Gennari</p>

Systems changed:

  • Urogenital

Updates to Study Attributes

Findings was changed:

CT abdomen with contrast

In the left adrenal gland, there’s an ovoid, well-circumscribed multilocular lesion (maximum diameters greater than 7 cm) with overall low-attenuation internal contents and nodular scattered peripheral calcifications. Multiple-phase CT images show non-enhancing contents and residual adrenal gland; within the lesion there are thin septations showing enhancement. There’s also a little FNH lesion located on the left hepatic lobe and horseshoe kidney. Left adrenalectomy was performed. Histopathological examination and immunohistochemical analysis of the cystic lesion was consistent with a lymphangioma.

Caption was added:
CT abdomen with contrast

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