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KMID : 0605920090150010064
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Journal of Korean Association of Pediatric Surgeons
2009 Volume.15 No. 1 p.64 ~ p.67
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Cystic Lymphangioma of the Spleen: Report of a Case
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Moon Suk-Bae
Seo Jeong-Meen
Kim Hea-Eun
Lee Suk-Koo
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Abstract
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Splenic cystic lesion is uncommon in children, and cystic lymphangioma of the spleen has not been reported in Korean pediatric patients. Here we report a case of cystic lymphangioma arising from the spleen in a 16 year-old male. The patient presented with left flank pain for 5 days after blunt trauma to the same site. On physical examination, left abdominal tenderness and a palpable spleen were noted. Abdominal ultrasound and MRI revealed multiple septated macro-cystic mass abutting to the spleen medially, suggestive of cystic lymphangioma of the spleen. Laparotomy revealed a 20 cm sized cyst in the spleen, and 2,000mL of dark-brownish fluid was aspirated from the cyst. Splenectomy was performed. Pathological examination revealed the cystic lymphangioma. Post-operative recovery was uneventful, and the patient was discharged at 7 days after surgery.
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KEYWORD
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Cystic lymphangioma, Spleen
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