경피적 도관 배액술과 경화요법으로 치료한 후복막 낭성 림프관종 1예
A Case of a Retroperitoneal Cystic Lymphangioma Treated by Percutaneous Catheter Drainage and Sclerotherapy
강현식, 김승형, 김봉수, 강기수,
소속 상세정보
강현식 ( Kang Hyun-Sik )
제주대학교 의학전문대학원 소아과학교실
김승형 ( Kim Seong-Hyung )
제주대학교 의학전문대학원 영상의학교실
김봉수 ( Kim Bong-Soo )
제주대학교 의학전문대학원 영상의학교실
강기수 ( Kang Ki-Soo )
제주대학교 의학전문대학원 소아과학교실
KMID : 0816120100130010086
Abstract
Retroperitoneal cystic lymphangiomas are benign, extremely rare tumors. Although surgical resection is the treatment of choice, sclerotherapy should be considered initially. A 9-year-old boy was admitted due do worsening abdominal pain of 4 days duration. Serial complete blood counts revealed a hemoglobin level of 12.8 g/dL on admission to 10.6 g/dL on hospital day 3. An abdominal computed tomography (CT) scan showed a large, lobulated, septated, retroperitoneal cystic mass (10×9.5×5 cm) in the left anterior pararenal space with intracystic hemorrhage surrounding the inferior mesenteric vein (IMV). Because of the high operative risk, we performed a tubogram of the cystic mass, percutaneous catheter drainage (PCD), and ethanol sclerotherapy. The follow-up abdominal CT scan showed that the cystic mass had decreased in size. He is well without relapse of the retroperitoneal cystic mass for 13 months after discharge. Sclerotherapy with PCD should be considered as initial therapy for patients with retroperitoneal cystic lymphangiomas at high surgical risk.
키워드
Retroperitoneal cystic lymphangioma; Sclerotherapy
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