ABSTRACT
In adult, cystic lymphangioma is uncommon cause of cervical swelling. A 35 years old woman presented with a slowly enlarging neck swelling for 2 years duration that was excised and identified by pathology as a lymphangioma. She had a similar neck swelling at same location excised 14 years back. We reported this case to emphasize the cystic lymphangioma in differential diagnosis of neck swelling in adults. The literature is reviewed and classification, symptoms, diagnosis, and treatment of lymphangioma are discussed. For small, non-expanding swelling observation is required. Complete surgical excision remains the treatment of choice for cystic lymphangioma of enlarge, persist, obstructed to vital structure in neck or recurrent lymphangioma. This will help in reducing the rate of recurrence