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KMID : 0614620100560060353
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Korean Journal of Gastroenterology
2010 Volume.56 No. 6 p.353 ~ p.358
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Clinical Aspects of Intraabdominal Cystic Lymphangioma in Korea
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Na Woon-Tae
Lee Tae-Hee
Lee Byung-Seok
Kim Seok-Hyun
Chae Hee-Bok
Kim Suk-Bae
Kim Yong-Seok
Kim Sun-Moon
Im Euyi-Hyeog
Huh Kyu-Chan
Choi Young-Woo
Kang Young-Woo
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Abstract
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Background/Aims: Cystic lymphangioma is an uncommon disease, and rarely develops in the intraabdomen. The aim of this article was to discuss about clinical characteristics of intraabdominal cystic lymphangioma developed in Korea.
Methods: Age, sex, symptoms, locations and size of the lesions, diagnostic methods, treatments, complications and recurrence were analyzed in 13 pathologically confirmed cases of intraabdominal cystic lymphangioma and 18 cases of literature consideration reported in Korea.
Results: Intraabdominal cystic lymphangioma commonly developed in adults compared to the other lymphangioma, and frequently located in the mesentery. Abdominal pain was the most common symptom, but it was a non-specific finding. Tenderness and abdominal mass were not significantly associated. The size of mass was diverse. Abdominal ultrasonography and abdominal CT were diagnostic tools most commonly used, but preoperative diagnosis was possible only in 22.6%. All patients were discharged without any complications, and no recurrence was reported.
Conclusions: Preoperative diagnosis of intraabdominal cystic lymphangioma is difficult and symptoms and signs are not specific. Intra-abdominal cystic lymphangioma should be suspected in patients with non specific abdominal pain and intraabdominal mass and active diagnostic evaluation is mandatory.
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KEYWORD
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Lymphangioma, Cystic, Abdominal cavity
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