Multiple intestinal lymphangiomas with episodic hemorrhage requiring partial laparoscopic resection: a case report
Abstract Background Lymphangioma is a non-epithelial tumor marked by aggregates of abnormally dilated lymphatics. Mesenteric occurrences account for < 1% of all cases, and < 0.05% involve the gastrointestinal tract. Most are confined to children, rarely affecting adults. Case presentation Here...
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| Language: | English |
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Japan Surgical Society
2022-03-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01411-y |
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| author | Hiroka Kondo Takeshi Ohki Shimpei Ogawa Teppei Omori Hiromi Onizuka Yoji Nagashima Shigeki Yamaguchi |
| author_facet | Hiroka Kondo Takeshi Ohki Shimpei Ogawa Teppei Omori Hiromi Onizuka Yoji Nagashima Shigeki Yamaguchi |
| author_sort | Hiroka Kondo |
| collection | DOAJ |
| description | Abstract Background Lymphangioma is a non-epithelial tumor marked by aggregates of abnormally dilated lymphatics. Mesenteric occurrences account for < 1% of all cases, and < 0.05% involve the gastrointestinal tract. Most are confined to children, rarely affecting adults. Case presentation Herein, we describe an elderly Japanese woman with anemia, hypoalbuminemia, and episodic bleeding due to multiple intestinal lymphangiomas. Abdominal computed tomography revealed multiple low-density defects of mesentery, with areas of intermediate (T1 images) or high (T2 images) signal intensity similarly dispersed in magnetic resonance scanning sequences. Single-balloon enteroscopy was undertaken, enabling identification and tattooing of a small intestinal bleeding source. Laparoscopy-assisted resection at this site served to control related hemorrhage, removing a histologically confirmed hemolymphangioma. Having recovered uneventfully, the patient remained stable 2 months postoperatively. Conclusions Although rare in adults, mesenteric or gastrointestinal lymphangiomas must be considered in a setting of anemia and hypoalbuminemia. Complete resection is advantageous to improve patient symptoms, but limited resection of multiple lesions may be equally effective. |
| format | Article |
| id | doaj-art-bd509608d0a34da09bfab7c70fa1ea5d |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-bd509608d0a34da09bfab7c70fa1ea5d2025-08-20T02:51:19ZengJapan Surgical SocietySurgical Case Reports2198-77932022-03-01811610.1186/s40792-022-01411-yMultiple intestinal lymphangiomas with episodic hemorrhage requiring partial laparoscopic resection: a case reportHiroka Kondo0Takeshi Ohki1Shimpei Ogawa2Teppei Omori3Hiromi Onizuka4Yoji Nagashima5Shigeki Yamaguchi6Department of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgical Pathology, Tokyo Women’s Medical UniversityDepartment of Surgical Pathology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityAbstract Background Lymphangioma is a non-epithelial tumor marked by aggregates of abnormally dilated lymphatics. Mesenteric occurrences account for < 1% of all cases, and < 0.05% involve the gastrointestinal tract. Most are confined to children, rarely affecting adults. Case presentation Herein, we describe an elderly Japanese woman with anemia, hypoalbuminemia, and episodic bleeding due to multiple intestinal lymphangiomas. Abdominal computed tomography revealed multiple low-density defects of mesentery, with areas of intermediate (T1 images) or high (T2 images) signal intensity similarly dispersed in magnetic resonance scanning sequences. Single-balloon enteroscopy was undertaken, enabling identification and tattooing of a small intestinal bleeding source. Laparoscopy-assisted resection at this site served to control related hemorrhage, removing a histologically confirmed hemolymphangioma. Having recovered uneventfully, the patient remained stable 2 months postoperatively. Conclusions Although rare in adults, mesenteric or gastrointestinal lymphangiomas must be considered in a setting of anemia and hypoalbuminemia. Complete resection is advantageous to improve patient symptoms, but limited resection of multiple lesions may be equally effective.https://doi.org/10.1186/s40792-022-01411-yLymphangiomaMesentericIntestinalAnemiaLaparoscopic-assisted surgery |
| spellingShingle | Hiroka Kondo Takeshi Ohki Shimpei Ogawa Teppei Omori Hiromi Onizuka Yoji Nagashima Shigeki Yamaguchi Multiple intestinal lymphangiomas with episodic hemorrhage requiring partial laparoscopic resection: a case report Surgical Case Reports Lymphangioma Mesenteric Intestinal Anemia Laparoscopic-assisted surgery |
| title | Multiple intestinal lymphangiomas with episodic hemorrhage requiring partial laparoscopic resection: a case report |
| title_full | Multiple intestinal lymphangiomas with episodic hemorrhage requiring partial laparoscopic resection: a case report |
| title_fullStr | Multiple intestinal lymphangiomas with episodic hemorrhage requiring partial laparoscopic resection: a case report |
| title_full_unstemmed | Multiple intestinal lymphangiomas with episodic hemorrhage requiring partial laparoscopic resection: a case report |
| title_short | Multiple intestinal lymphangiomas with episodic hemorrhage requiring partial laparoscopic resection: a case report |
| title_sort | multiple intestinal lymphangiomas with episodic hemorrhage requiring partial laparoscopic resection a case report |
| topic | Lymphangioma Mesenteric Intestinal Anemia Laparoscopic-assisted surgery |
| url | https://doi.org/10.1186/s40792-022-01411-y |
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