1.Gastric lymphangioma.
Hyun Su KIM ; Seung Yup LEE ; Young Doo LEE ; Dae Hyun KIM ; Joong Goo KWON ; Won Young TAK ; Young Oh KWEON ; Sung Kook KIM ; Yong Hwan CHOI ; Joon Mo CHUNG
Journal of Korean Medical Science 2001;16(2):229-232
Gastric lymphangioma is a rare benign gastric tumor composed of unilocular or multilocular lymphatic spaces. On gastrofiberscopy a submucosal tumor covered with smooth transparent normal mucosa is revealed in the stomach with or without a stalk. Endoscopic ultrasonography has become an indispensable tool for differentiating these gastric tumors. Treatment of lymphangioma depends on its size, location, and presence of complications. Endoscopic resection is safe and easy and plays an important role in confirming the diagnosis and treatment of the tumors especially of small-sized ones. We report a case of gastric lymphangioma in a 68-yr-old woman who presented with nausea and vague epigastric discomfort for two months. She was diagnosed by gastrofiberscopy with endoscopic ultrasonography and treated successfully with endoscopic resection by strip biopsy method.
Aged
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Biopsy
;
Endoscopy, Gastrointestinal
;
Endosonography
;
Female
;
Human
;
Lymphangioma/*pathology/surgery/ultrasonography
;
Stomach Neoplasms/*pathology/surgery/ultrasonography
2.Unusual Presentation of Cystic Lymphangioma of the Gallbladder.
Yong Sik WOO ; Kwang Ro JOO ; Kyung Yup KIM ; Won Taek OH ; Youn Hwa KIM
The Korean Journal of Internal Medicine 2007;22(3):197-200
Cystic lymphangioma of the gallbladder is quite a rare tumor with only a few cases having been reported in the literature. We describe here a rare case of cystic lymphangioma of the gallbladder, which was unusual in that the patient presented with biliary pain and an abnormal liver test. Ultrasonography and computed tomography of the abdomen showed a multi-septated cystic mass in the gallbladder fossa and an adjacent compressed gallbladder. Endoscopic retrograde cholangiography showed there was no communication between the bile tract and the lesion, and there were no other abnormal findings with the exception of a laterally compressed gallbladder. After performing endoscopic sphincterotomy, a small amount of sludge was released from the bile duct. The histological findings were consistent with a cystic lymphangioma originating from the subserosal layer of the gallbladder. This unusual clinical presentation of a gallbladder cystic lymphangioma was attributed to biliary sludge, and this was induced by gallbladder dysfunction that was possibly from compression of the gallbladder due to the mass.
Adult
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Cholangiopancreatography, Endoscopic Retrograde
;
Cholecystectomy, Laparoscopic
;
Female
;
Gallbladder Neoplasms/*diagnosis/pathology/surgery
;
Humans
;
Lymphangioma, Cystic/*diagnosis/pathology/surgery
;
Tomography, X-Ray Computed
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Ultrasonography