title: Acquired omental cystic lymphangioma after subtotal gastrectomy: a case report.
abstract: 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.
authors: Department of Surgery, Korea University College of Medicine, Seoul, Korea.
authors: Jong Han
authors: JH
authors: Kim
authors: Woo Sang
authors: WS
authors: Ryu
authors: Byung Wook
authors: BW
authors: Min
authors: Tae Jin
authors: TJ
authors: Song
authors: Gil Soo
authors: GS
authors: Son
authors: Seung Joo
authors: SJ
authors: Kim
authors: Young Sik
authors: YS
authors: Kim
authors: Jun Won
authors: JW
authors: Um
mesh_terms: 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