Cystic lymphangioma of the gallbladder is a benign albeit rare tumor. Although it develops in childhood it is generally diagnosed in adulthood, with complete excision being the most appropriate treatment, and offering the best prognosis. Laparoscopic cholecystectomy can be a management option even in the presence of gallbladder stones. We report here a 34-year-old woman with a history of morbid obesity for which she underwent gastric bypass surgery several years ago. She presented with a history of right hypochondrial pain over a period of 3 months, and an abdominal ultrasound identified a partially septated gallbladder with multiple calculi. The patient underwent uncomplicated laparoscopic cholecystectomy which revealed a 5cm x 3cm subserosal cystic swelling. The histological findings were consistent with cystic lymphangioma of the gallbladder with chronic cholecystitis.
Cystic lymphangioma of the gallbladder is a benign albeit rare tumor. Although it develops in childhood it is generally diagnosed in adulthood, with complete excision being the most appropriate treatment, and offering the best prognosis. Laparoscopic cholecystectomy can be a management option even in the presence of gallbladder stones. We report here a 34-year-old woman with a history of morbid obesity for which she underwent gastric bypass surgery several years ago. She presented with a history of right hypochondrial pain over a period of 3 months, and an abdominal ultrasound identified a partially septated gallbladder with multiple calculi. The patient underwent uncomplicated laparoscopic cholecystectomy which revealed a 5cm x 3cm subserosal cystic swelling. The histological findings were consistent with cystic lymphangioma of the gallbladder with chronic cholecystitis.