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. 2013:2013:292053.
doi: 10.1155/2013/292053. Epub 2013 Feb 28.

Retroperitoneal cystic lymphangioma: a diagnostic and surgical challenge

Oguzhan Güven Gümüştaş  1 , Murat Sanal, Osman Güner, Volkan Tümay
Affiliations

Retroperitoneal cystic lymphangioma: a diagnostic and surgical challenge

Oguzhan Güven Gümüştaş et al. Case Rep Pediatr. 2013.

Abstract

A lymphangioma is a benign proliferation of lymph vessels, producing fluid-filled cysts that result from a blockage of the lymphatic system. The incidence of abdominal lymphangiomas is unknown; however they account for from 3% to 9.2% of all pediatric lymphangiomas, with retroperitoneal lymphangioma representing less than 1% of abdominal lymphangiomas. Due to rarity, preoperative diagnosis is often difficult.

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Figures

Figure 1
Figure 1
Contrast-enhanced CT axial scan shows retroperitoneal lobulated-septated cystic mass between spleen, stomach, and pancreas. Splenic vein and artery borders are in the cystic mass. Also cystic mass reaches to the pararenal space.
Figure 2
Figure 2
Contrast-enhanced CT coronal scan shows retroperitoneal lobulated-septated cystic mass that reaches to subdiaphragmatic space.
Figure 3
Figure 3
Contrast-enhanced CT sagital scan shows that retroperitoneal lobulated-septated cystic mass cannot be distinguished from spleen, pancreas, and stomach. Splenic vein and artery borders are in the cystic mass also.
Figure 4
Figure 4
Total excision of the retroperitoneal lymphangioma.
See this image and copyright information in PMC

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