Chung SH, Park YS, Jo YJ, Kim SH, Jun DW, Son BK, Jung JY, Baek DH, Kim DH, Jung YY, Lee WM. Asymptomatic lymphangioma involving the spleen and retroperitoneum in adults. World J Gastroenterol 2009; 15(44): 5620-5623 [PMID: 19938204 DOI: 10.3748/wjg.15.5620]
Corresponding Author of This Article
Young Sook Park, MD, Department of Internal Medicine, Eulji Medical Center, Eulji Universitiy, School of Medicine, 280-1 Hagye 1-dong, Nowon-gu, Seoul 139-711, South Korea. pys1109@eulji.ac.kr
Article-Type of This Article
Case Report
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World J Gastroenterol. Nov 28, 2009; 15(44): 5620-5623 Published online Nov 28, 2009. doi: 10.3748/wjg.15.5620
Asymptomatic lymphangioma involving the spleen and retroperitoneum in adults
Sook Hee Chung, Young Sook Park, Yun Ju Jo, Seong Hwan Kim, Dae Won Jun, Byoung Kwan Son, Jun Young Jung, Dae Hyun Baek, Dong Hee Kim, Yoon Young Jung, Won Mi Lee
Sook Hee Chung, Young Sook Park, Yun Ju Jo, Seong Hwan Kim, Dae Won Jun, Byoung Kwan Son, Jun Young Jung, Dae Hyun Baek, Dong Hee Kim, Yoon Young Jung, Won Mi Lee, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine, Seoul 139-711, South Korea
Dong Hee Kim, Department of General Surgery, Eulji General Hospital, Eulji University School of Medicine, Seoul 139-711, South Korea
Yoon Young Jung, Department of Radiology, Eulji General Hospital, Eulji University School of Medicine, Seoul 139-711, South Korea
Won Mi Lee, Department of Pathology, Eulji General Hospital, Eulji University School of Medicine, Seoul 139-711, South Korea
Author contributions: Park YS, Jo YJ, Kim SH, Jun DW, Son BK, Jung JY and Baek DH supplemented the data about case report; Kim DH, Jung YY and Lee WM analyzed the data of patient; Chung SH wrote the paper.
Correspondence to: Young Sook Park, MD, Department of Internal Medicine, Eulji Medical Center, Eulji Universitiy, School of Medicine, 280-1 Hagye 1-dong, Nowon-gu, Seoul 139-711, South Korea. pys1109@eulji.ac.kr
Telephone: +82-2-9708207 Fax: +82-2-9708621
Received: October 10, 2009 Revised: October 28, 2009 Accepted: November 4, 2009 Published online: November 28, 2009
Abstract
Lymphangioma, a benign neoplasm of the lymphatic system, is common in children but rare in adults. Its clinical manifestations include abdominal pain, nausea, vomiting and a palpable mass. However, abdominal sonography or abdominal computed tomography (CT) scan can also incidentally reveal lymphangioma. A larger or symptomatic lymphangioma is treated with total resection to prevent recurrence, infection, torsion and enlargement. Although lymphangioma rarely becomes malignant, its prognosis is generally good. We report a cystic lymphangioma of the spleen and retroperitoneum, which was incidentally found in a 56-year-old man who was hospitalized due to a colon mass. Physical examination showed no specific findings. Abdominal CT revealed a 5.7 cm, non-enhanced multilobulated cystic mass with multiple septa in the spleen and a 10 cm lobulated cystic mass in the paraaortic area. Splenectomy and retroperitoneal resection of the cystic mass were conducted. The endothelium of splenic and retroperitoneal cyst was immunohistochemically stained with D2-40 antibody. The patient was finally diagnosed with splenic cystic and retroperitoneal cavernous lymphangioma.
