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나운태 ( Woon Tae Na ),이태희 ( Tae Hee Lee ),이병석 ( Byung Seok Lee ),김석현 ( Seok Hyun Kim ),채희복 ( Hee Bok Chae ),김석배 ( Seok Bae Kim ),김용석 ( Yong Seok Kim ),김선문 ( Sun Moon Kim ),임의혁 ( Euyi Hyeog Im ),허규찬 ( Ky 대한소화기학회 2010 대한소화기학회지 Vol.56 No.6
Background/Aims: Cystic lymphangioma is an uncommon disease, and rarely develops in the intraabdomen. The aim of this article was to discuss about clinical characteristics of intraabdominal cystic lymphangioma developed in Korea. Methods: Age, sex, symptoms, locations and size of the lesions, diagnostic methods, treatments, complications and recurrence were analyzed in 13 pathologically confirmed cases of intraabdominal cystic lymphangioma and 18 cases of literature consideration reported in Korea. Results: Intraabdominal cystic lymphangioma commonly developed in adults compared to the other lymphangioma, and frequently located in the mesentery. Abdominal pain was the most common symptom, but it was a non-specific finding. Tenderness and abdominal mass were not significantly associated. The size of mass was diverse. Abdominal ultrasonography and abdominal CT were diagnostic tools most commonly used, but preoperative diagnosis was possible only in 22.6%. All patients were discharged without any complications, and no recurrence was reported. Conclusions: Preoperative diagnosis of intraabdominal cystic lymphangioma is difficult and symptoms and signs are not specific. Intraabdominal cystic lymphangioma should be suspected in patients with non specific abdominal pain and intraabdominal mass and active diagnostic evaluation is mandatory. (Korean J Gastroenterol 2010;56:353-358)