Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Cystic Lymphangioma of the Spleen: Report of a Case

비장에 생긴 낭성 림프관종 1예

  • Moon, Suk-Bae (Department of Pediatric Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Hae-Eun (Department of Pediatric Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Suk-Koo (Department of Pediatric Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Seo, Jeong-Meen (Department of Pediatric Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 문석배 (성균관대학교 의과대학 삼성서울병원 소아외과) ;
  • 김혜은 (성균관대학교 의과대학 삼성서울병원 소아외과) ;
  • 이석구 (성균관대학교 의과대학 삼성서울병원 소아외과) ;
  • 서정민 (성균관대학교 의과대학 삼성서울병원 소아외과)
  • Received : 2009.04.16
  • Accepted : 2009.05.28
  • Published : 2009.06.30
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Abstract

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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