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Abdominal lymphangiomas are an uncommon form of congenital lymphatic malformation. We describe a case of a six-year-old male child who presented to our hospital with pain in the abdomen after an alleged history of minor trauma to the abdomen. On per abdomen examination there was a visible mass that was cystic on palpation. Abdominal ultrasound and magnetic resonance imaging showed large multiloculated, septated intra-abdominal cystic structures. The patient underwent sclerotherapy with doxycycline and resolved completely after one session without complications. Doxycycline sclerotherapy is very effective and safe in treating macrocystic lymphatic malformations., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2022, Al-Sofyani et al.)