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A Case of Retroperitoneal Cystic Lymphangioma

Journal of the Korean Pediatric Society 2000;43(1):111-116.
Published online January 15, 2000.
A Case of Retroperitoneal Cystic Lymphangioma
Chang Ho Lee1, Jeong Hwa Choi1, Eun Ju Han1, Jin Gook Kim1, Bung Do Nam1, Jae Won Back2, Mun Kyu Park2
1Department of Pediatircs, Kwang Hwae General Hospital, Pusan, Korea
2Department of General Surgery, Kwang Hwae General Hospital, Pusan, Korea
후복막에 발생한 낭종성 림프관종 1례
이창호1, 최정화1, 한은주1, 김진국1, 남병도1, 백재원2, 박문규2
1부산광혜병원 소아과
2부산광혜병원 일반외과
Abstract
Cystic lymphangiomas are comparatively rare, benign tumors of lymphatic system and their histogenesis are uncertain. About 75% of theses lesions are in the neck, 20% are in the axillary region, and 5% are in the mediastinum, retroperitoneal region or groin. But retroperitoneal cysticlymphangiomas are very rare. Retroperitoneal cystic lymphangiomas are usually found incidentally during diagnostic procedures performed for unrelated clinical reasons or at surgery. Although retroperitoneal cystic lymphangioma is a benign lesion, it may cause significant morbidity due to its large size and its often invasive character with a strong tedency to secondary infection. They generally present as a palpable mass or abdominal pain and fever related to hemorrhage or inflammation of the cystic wall. The treatment of choice is surgical excision. We experienced a case of retroperitoneal cystic lymphangioma in a 4-year-old boy who had developed rapid abdominal distention and abdominal pain for 4 days. We have completely excised large cystic mass & histologically confirmed cystic lymphangioma. A brief review of literature was made.
Key Words: Retroperitoneal cystic lymphangioma


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