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KMID : 0359020110420010020
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 1 p.20 ~ p.23
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Extrinsic Indentation at Gastric Fundus by Splenic Lymphangioma
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Dong Shi-Heon
Kim Hee-Man
Cho Jae-Hee
Lee Hee-Woo
Lee Seung-Won
Kang Beo-Deul
Song Sun-Ok
Lee Sang-Yeop
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Abstract
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Splenic lymphangioma is a very rare benign condition, and it is classified as one of the cystic proliferations of the spleen. This is considered to result from developmental malformation of the lymphatic system. Splenic lymphangioma is usually seen in children and it is often found incidentally. Herein, we report on an unusual case of splenic lymphangioma in an adult. A 66-year-old woman presented with abdominal pain. On esophagogastroduodenoscopy, the gastric fundus was externally compressed by an extrinsic mass. Computed tomography revealed multiple cystic masses in the spleen. Laparoscopic splenectomy was then performed. The histology revealed multiple splenic lymphangiomas. This case showed an unusual presentation of splenic lymphangioma as gastric extrinsic compression, and this should be examined by imaging studies.
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KEYWORD
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Splenic lymphangioma, External indentation, Esophagogastroduodenoscopy
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