Fallopian tube lymphangiomas are extremely rare lesions. It is uncertain if these tumors are true neoplasms or if some represent reactive lesions. We described an incidental cystic lymphangioma in a 69-year- old woman with a complaint of postmenopausal bleeding and pelvic pain. Almost all lymphangiomas are benign, but they can compress and infiltrate vital structures. To our best knowledge, cystic lymphangioma of the fallopian tube is extremely rare in the literature and may be secondary to the failure of the regional lymphatic drainage.©2008, Firat University, Medical Faculty.