A 20-year-old woman came to our Emergency Department due to abdominal pain and distension. On physical examination, a palpable abdominal mass was noticed on the right upper quadrant, with voluntary guarding and no peritoneal irritation. Abdominal X-ray showed displacement of the colon by a mass in the right hemi-abdomen (Fig. 1). Abdominal CT (Fig. 2) revealed a hepatic cyst measuring 13.3cm×9.3cm×9.7cm in the right hepatic lobe (segment V) causing caudal displacement of the right kidney, with a limited amount of free fluid in the cavity. The patient was operated on and a large hepatic cystic tumor (15cm×9cm) was resected. The pathology report defined the tumor as a cystic hepatic lymphangioma.
Please cite this article as: Peña Ros E, et al. Linfangioma quístico hepático: una causa excepcional de dolor abdominal en el adulto. Cir Esp. 2013;91:e11.
