Acquired lymphangioma circumscriptum on the abdomen during pregnancy: A case report

To our knowledge, acquired lymphangioma circumscriptum during pregnancy has only been reported on the vulva, and herein, we report a novel case of acquired lymphangioma circumscriptum during pregnancy on the abdomen. A 34-year-old woman presented with numerous papules draining clear fluid on her low...

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Main Authors: Heidi Oi-Yee Li, Linda Mardiros, Jennifer Lipson
Format: Article
Language:English
Published: SAGE Publishing 2025-07-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X251350340
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author Heidi Oi-Yee Li
Linda Mardiros
Jennifer Lipson
author_facet Heidi Oi-Yee Li
Linda Mardiros
Jennifer Lipson
author_sort Heidi Oi-Yee Li
collection DOAJ
description To our knowledge, acquired lymphangioma circumscriptum during pregnancy has only been reported on the vulva, and herein, we report a novel case of acquired lymphangioma circumscriptum during pregnancy on the abdomen. A 34-year-old woman presented with numerous papules draining clear fluid on her lower abdomen during the third trimester of her third pregnancy. She is healthy with no past medical history. Physical examination showed numerous clustered groups of hypopigmented flat-topped papules on the lower abdomen below the umbilicus. A punch biopsy showed epidermal acanthosis and hyperkeratosis and dilated lymphatic vessels in the superficial and upper dermis. Further imaging revealed no deeper lymphatic involvement and no underlying abdominal pathology. The favoured diagnosis was an acquired variant of lymphangioma circumscriptum on the abdomen, likely secondary to pregnancy. As the lesions were asymptomatic, no treatment was required. Dermatologists should recognize and differentiate this rare manifestation of acquired lymphangioma circumscriptum in pregnancy from other dermatoses.
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spelling doaj-art-e377b14195ff46bd9f75f8a1d432bf702025-08-20T03:50:49ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-07-011310.1177/2050313X251350340Acquired lymphangioma circumscriptum on the abdomen during pregnancy: A case reportHeidi Oi-Yee Li0Linda Mardiros1Jennifer Lipson2Faculty of Medicine, University of Ottawa, ON, CanadaFaculty of Medicine, University of Ottawa, ON, CanadaDivision of Dermatology, The Ottawa Hospital, University of Ottawa, ON, CanadaTo our knowledge, acquired lymphangioma circumscriptum during pregnancy has only been reported on the vulva, and herein, we report a novel case of acquired lymphangioma circumscriptum during pregnancy on the abdomen. A 34-year-old woman presented with numerous papules draining clear fluid on her lower abdomen during the third trimester of her third pregnancy. She is healthy with no past medical history. Physical examination showed numerous clustered groups of hypopigmented flat-topped papules on the lower abdomen below the umbilicus. A punch biopsy showed epidermal acanthosis and hyperkeratosis and dilated lymphatic vessels in the superficial and upper dermis. Further imaging revealed no deeper lymphatic involvement and no underlying abdominal pathology. The favoured diagnosis was an acquired variant of lymphangioma circumscriptum on the abdomen, likely secondary to pregnancy. As the lesions were asymptomatic, no treatment was required. Dermatologists should recognize and differentiate this rare manifestation of acquired lymphangioma circumscriptum in pregnancy from other dermatoses.https://doi.org/10.1177/2050313X251350340
spellingShingle Heidi Oi-Yee Li
Linda Mardiros
Jennifer Lipson
Acquired lymphangioma circumscriptum on the abdomen during pregnancy: A case report
SAGE Open Medical Case Reports
title Acquired lymphangioma circumscriptum on the abdomen during pregnancy: A case report
title_full Acquired lymphangioma circumscriptum on the abdomen during pregnancy: A case report
title_fullStr Acquired lymphangioma circumscriptum on the abdomen during pregnancy: A case report
title_full_unstemmed Acquired lymphangioma circumscriptum on the abdomen during pregnancy: A case report
title_short Acquired lymphangioma circumscriptum on the abdomen during pregnancy: A case report
title_sort acquired lymphangioma circumscriptum on the abdomen during pregnancy a case report
url https://doi.org/10.1177/2050313X251350340
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AT jenniferlipson acquiredlymphangiomacircumscriptumontheabdomenduringpregnancyacasereport