A Case of Giant Retroperitoneal Cystic Lymphangioma Successfully Treated by Surgical Procedure

  • Nagai Yugo
    Department of Gastroenterological Surgery Wakayama Medical College
  • Katsumi Masaharu
    Department of Gastroenterological Surgery Wakayama Medical College
  • Tabuse Katsuyoshi
    Department of Gastroenterological Surgery Wakayama Medical College
  • Tabuse Yoji
    Department of Gastroenterological Surgery Wakayama Medical College
  • Egawa Hiromu
    Department of Gastroenterological Surgery Wakayama Medical College
  • Kobayashi Yasuhito
    Department of Gastroenterological Surgery Wakayama Medical College
  • Mori Kazunari
    Department of Gastroenterological Surgery Wakayama Medical College
  • Yamaue Hiroki
    Department of Gastroenterological Surgery Wakayama Medical College
  • Kashiwagi Hideo
    Department of Gastroenterological Surgery Wakayama Medical College
  • Nakai Takehiro
    Department of Gastroenterological Surgery Wakayama Medical College

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Other Title
  • 後腹膜原発巨大リンパ管嚢腫の1手術経験

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Abstract

A case of giant retroperitoneal cystic lymphangioma was reported. A 4-year-old boy was admitted, complaining of abdominal distension. Physical findings showed a characteristic compressible abdominal mass which was movable transversely but not longitudinally. Abdominal ultrasound and computed tomography revealed a giant cyst almost occupying the whole abdominal cavity. GI series and intravenous pyelogram excluded GI and urinary cysts or tumors. Complete extirpation of the giant cyst was done successfully without resection of the adjacent bowel. His postoperative course was uneventful and no recurrence was seen 10 months after operation. A review of the literature shows that retroperitoneal cystic lymphangioma is rare. Its diagnosis is not so difficult but complete extirpation is often difficult. It is suggested that location of cystic lymphangioma should be correctly clarified by GI series and other diagnostic aids, and currative extirpation should be performed, if possible, to prevent recurrence.

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