Acquired omental cystic lymphangioma after subtotal gastrectomy: a case report.
We herein describe a case of cystic lymphangioma in the greater omentum of the remnant stomach, which is thought it to be related with subtotal gastrectomy 10 yr ago for early gastric cancer. A 76-yr-old man was admitted to our department with postprandial abdominal discomfort and bowel habit change. Intraabdominal multilocular cystic mass was detected by ultrasonography and computed tomography. We performed a complete En-bloc tumor resection including spleen and distal pancreas, and histological examination confirmed cystic lymphangioma originated from the greater omentum of the remnant stomach. Although the etiology of omental lymphangioma remains largely unclear, these findings suggested strongly that obstruction of the lymphatic vessels after gastric resection for gastric carcinoma might be the most plausible cause. The surgical extirpation with resection of organs involved appears to be a treatment of choice for such unusual case.
Kim
Jong Han
JH
Department of Surgery, Korea University College of Medicine, Seoul, Korea.
Ryu
Woo Sang
WS
Min
Byung Wook
BW
Song
Tae Jin
TJ
Son
Gil Soo
GS
Kim
Seung Joo
SJ
Kim
Young Sik
YS
Um
Jun Won
JW
D000368:Aged; D005743:Gastrectomy; D018530:Gastric Stump / Q000473:pathology*; D006801:Humans; D018191:Lymphangioma, Cystic / Q000473:pathology*; D008297:Male; D009852:Omentum / Q000473:pathology*; D013274:Stomach Neoplasms / Q000601:surgery