Cystic lymphangiomas are rare, congenital, benign lesions occurring early in life, mainly in the head, neck, and oral cavity and rarely in abdominal wall, Due to aberrant proliferation of lymphatic vessels resulting from abnormal development of the lymphatic system. Lymphangiomas are classified as micro cystic, macro cystic, and cystic hygromas according to the size of the lymphatic cavities incorporated. These are soft, variable in size and shape, and tend to grow extensively if not surgically excised. These are multilocular cysts filled with clear or yellow lymph fluid. Histopathologically, lymphangiomas are of three types: Lymphangioma simplex, Cavernous Lymphangioma, and Cystic Hygroma depending on the size of vascular spaces and thickness of the adventitia. The present case report describes a case of cystic lymphangioma of lower abdominal wall in a 30-year-old male and its clinical, ultrasonographic / Imaging features, cytological and histopathological correlation.