Department of Surgery, Korea University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2009 Dec;24(6):1212-5. doi: 10.3346/jkms.2009.24.6.1212. Epub 2009 Nov 9.
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.
我们在此描述了一例发生于残胃大网膜的囊性淋巴管瘤病例，该病例被认为与 10 年前因早期胃癌行胃大部切除术有关。一名 76 岁男性因餐后腹部不适和排便习惯改变而入院。超声和 CT 检查发现腹腔内多房囊性肿块。我们行完整的肿块 En-bloc 切除术，包括脾脏和胰腺远端，组织学检查证实囊性淋巴管瘤来源于残胃大网膜。尽管网膜淋巴管瘤的病因仍不清楚，但这些发现强烈提示胃癌胃大部切除术后淋巴管阻塞可能是最合理的原因。对于这种罕见病例，手术切除受累器官似乎是首选治疗方法。
