case_images: PMC9391995_01
case_images: computed tomography scan showing: A) cystic lesion in left anterior pararenal space (arrow) in axial view; B) the lesion displacing the proximal and the midpart of the left ureter medially in coronal section
case_images: PAMJ-42-115-g001.jpg
case_images: PMC9391995_01_PAMJ-42-115-g001.jpg
case_images: F1
case_images: The adjoining mass had also displaced the left ureter medially in its upper and mid-part without any evidence of hydronephrosis and psoas muscle involvement (Figure 1).
case_images: intraoperative photograph revealing: A) a large infracolic bilobed cyst covered by mesentery anteriorly; B) the thin glistening posterior adherent cyst wall after dissection and partial excision
case_images: PAMJ-42-115-g002.jpg
case_images: PMC9391995_01_PAMJ-42-115-g002.jpg
case_images: F2
case_images: Intraoperatively, a thin-walled cystic lesion of 10 x 7 cm from the retroperitoneum was noted below the left kidney level (Figure 2).
case_images: microphotograph after Haematoxylin and Eosin stain demonstrating: A) lymphoid aggregates in cyst wall at 400X magnification; B) the lymphatic channels in fibrous meshwork at 100X view
case_images: PAMJ-42-115-g003.jpg
case_images: PMC9391995_01_PAMJ-42-115-g003.jpg
case_images: F3
case_images: Finally, the microscopy demonstrated a fibrous cyst wall with variable-sized lymphatic channels and focal lymphoid aggregates that led to the final diagnosis of cystic lymphangioma (Figure 3).