Korean Journal of Gastrointestinal Endoscopy 2011;42(1): 20-23.
위저부의 외부압박 소견으로 진단된 비장의 림프관종 1예
동시헌ㆍ김희만ㆍ조재희ㆍ이희우ㆍ이승원ㆍ강버들ㆍ송선옥ㆍ이상엽
관동대학교 의과대학 내과학교실
Extrinsic Indentation at Gastric Fundus by Splenic Lymphangioma
Shi Heon Dong, M.D., Hee Man Kim, M.D., Jae Hee Cho, M.D., Hee Woo Lee, M.D., Seung Won Lee, M.D., Beo Deul Kang, M.D., Sun Ok Song, M.D. and Sang Yeop Yi, M.D.
Department of Internal Medicine, College of Medicine, Kwandong University, Goyang, Korea
Abstract
Splenic lymphangioma is a very rare benign condition, and it is classified as one of the cystic proliferations of the spleen. This is considered to result from developmental malformation of the lymphatic system. Splenic lymphangioma is usually seen in children and it is often found incidentally. Herein, we report on an unusual case of splenic lymphangioma in an adult. A 66-year-old woman presented with abdominal pain. On esophagogastroduodenoscopy, the gastric fundus was externally compressed by an extrinsic mass. Computed tomography revealed multiple cystic masses in the spleen. Laparoscopic splenectomy was then performed. The histology revealed multiple splenic lymphangiomas. This case showed an unusual presentation of splenic lymphangioma as gastric extrinsic compression, and this should be examined by imaging studies. (Korean J Gastrointest Endosc 2011;42:20-23)
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