%0 Journal Article
%T Asymptomatic lymphangioma involving the spleen and retroperitoneum in adults
%A Sook Hee Chung
%A Young Sook Park
%A Yun Ju Jo
%A Seong Hwan Kim
%A Dae Won Jun
%A Byoung Kwan Son
%A Jun Young Jung
%A Dae Hyun Baek
%A Dong Hee Kim
%A Yoon Young Jung
%A Won Mi Lee
%J World Journal of Gastroenterology
%D 2009
%I Baishideng Publishing Group Co. Limited
%X 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.
%K Lymphangioma
%K Retroperitoneum
%K Spleen
%U http://www.wjgnet.com/1007-9327/full/v15/i44/5620.htm