case_images: PMC10331071_01
case_images: Lateral view of the right inguinal swelling measuring 3 x 4 cm.
case_images: 10.1177_2050313X231185477-fig1.jpg
case_images: PMC10331071_01_10.1177_2050313X231185477-fig1.jpg
case_images: fig1-2050313X231185477
case_images: He was admitted to the urology department for management of a right inguinal swelling that had been present for 5 months, as shown in Figure 1. The clinical examination revealed a conscious patient, hemodynamically and respiratory stable, non-febrile, with a right inguinal swelling of about 3 x 4 cm (Figure 1).
case_images: An image of probable inguinal cystic lymphangioma. This formation measuring 42 x 41 x
  28 mm.
case_images: 10.1177_2050313X231185477-fig2.jpg
case_images: PMC10331071_01_10.1177_2050313X231185477-fig2.jpg
case_images: fig2-2050313X231185477
case_images: The inguinal Doppler ultrasound revealed the presence of a cystic formation in the right inguinal fold, as shown in Figure 2, suggesting a cystic lymphangioma measuring 42 x 28 mm.
case_images: Cystic formation of a 5 x 4 x 2.5 cm.
case_images: 10.1177_2050313X231185477-fig3.jpg
case_images: PMC10331071_01_10.1177_2050313X231185477-fig3.jpg
case_images: fig3-2050313X231185477
case_images: During exploration via the inguinal route, a lymphangioma was observed (as seen in Figure 3):a transilluminable cystic mass with a thin wall and liquid content, smooth surface, and slightly vascularized wall:in close contact with the spermatic cord.
case_images: Microscopic exam of the cystic formation. (a) Large irregular vascular spaces with
  fibroblastic stroma (H&E Gx50). (b) Vascular spaces lined by flattened bland
  epithelial cells. Note aggregate of lymphocytes (H&E Gx50).. H&E: hematoxylin and eosin.
case_images: 10.1177_2050313X231185477-fig4.jpg
case_images: PMC10331071_01_10.1177_2050313X231185477-fig4.jpg
case_images: fig4-2050313X231185477
case_images: These spaces were lined by flattened, bland endothelial cells (as shown in Figure 4). The stroma supporting the cystic spaces was fibroblastic, with lymphocyte aggregates and small, variable-sized congestive vessels (as depicted in Figure 4).