Background Abdominal lymphangioma is a rare tumour usually classified
with mesenteric and retroperitoneal cysts. This experience of abdomina
l lymphangiomas contrasts the differences between tumours in children
and adults. Methods Between 1970 and 1996, six patients had surgical r
esection of an abdominal lymphangioma. Results There were three childr
en aged 4 years or less and three adults aged 36-76 years. Two childre
n presented with an acute abdomen and one with a rapidly enlarging abd
ominal girth. Lymphangiomas were located in the mesentery and gastroin
testinal tract. In adults, symptoms lasted from months to years and ly
mphangiomas were found in the pancreas, spleen and retroperitoneum. Co
nclusion In this series, abdominal lymphangioma presented more acutely
in children and usually involved the mesentery, whereas in adults the
history was longer and the tumour was found in the retroperitoneum.