962 J Pak Med Assoc Cystic Adrenal Lymphangioma — Report of two cases and review of the literature Ebru Cakir, 1 N. Engin Aydin, 2 Emine Samdanci, 3 Mustafa Ates, 4 Candan Elmali, 5 Sadegul Sayin, 6 Gulnur Erdem 7 Department of Pathology, 1-3,5,6 Department of General Surgery, 4 Department of Radiology,7 Faculty of Medicine, Inonu University, Malatya, Turkey. Corresponding Author: Ebru Cakir. Email: arabaci.ebru@gmail.com Case Report Abstract Cystic adrenal lymphangiomas are very rare, benign vascular lesions. They are usually found during a work up for abdominal pain or incidentally during imaging studies for an unrelated cause. We report two cases of cystic adrenal lymphangiomas. They presented with flank discomfort, hypertension and flushing. Their laboratory findings were in normal limits. Radiologic imagings showed adrenal cystic neoplasm and the patients underwent adrenelectomy. Histopathologic examination and immunohistochemical findings were consistent with lymphangioma. Cystic lymphangiomas may imitate other adrenal neoplasms and must be kept in mind in the clinical and radiologic differential diagnosis of cystic adrenal lesions. Keywords: Adrenal gland, Adrenal cyst, Lymphangioma. Introduction Lymphangiomas are benign vascular lesions and commonly located in the neck, axillary region and mediastinum. Adrenal lymphangiomas, also known as cystic adrenal lymphangiomas are very rare and most often found incidentally during abdominal imaging studies or abdominal surgery or autopsy. There are less than 50 cases reported in the literature. 1-5 However, this entity may be seen more frequently with improvements in imaging techniques. Despite the advancements in radiographic techniques,