Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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A Case Report of Chylous Mesenteric Cyst

유미성 장간막 낭종 1예 보고

  • Joo, In-Ho (Department of Surgery, Inje University College of Medicine, Busan Paik Hospital) ;
  • Chun, Yong-Soon (Department of Surgery, Inje University College of Medicine, Busan Paik Hospital) ;
  • Lee, Nan-Joo (Department of Surgery, Inje University College of Medicine, Busan Paik Hospital) ;
  • Yoon, Won-Hwa (Department of Surgery, Inje University College of Medicine, Busan Paik Hospital)
  • 주인호 (인제대학교 의과대학 외과학교실) ;
  • 전용순 (인제대학교 의과대학 외과학교실) ;
  • 이난주 (인제대학교 의과대학 외과학교실) ;
  • 윤원화 (인제대학교 의과대학 외과학교실)
  • Received : 2008.01.17
  • Accepted : 2008.07.03
  • Published : 2008.06.30
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Abstract

Chylous mesenteric cyst is a rare variant of mesenteric cystic lesions. Pathologically there is lack of communication of the main lymphatic vessels, resulting in cystic mass formation. Clinical presentation is diverse and can range from an incidentally apparent abdominal mass to symptoms of an acute abdomen. A 5-year-old girl presented with abdominal distension without pain. CT scan showed a huge and thin-walled cystic mass without solid portion. Laparotomy showed a $20{\times}18cm$ sized huge mesenteric cyst containing chylous fluid. Pathological diagnosis was cystic lymphangioma.

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