Surgery of multiple lymphangioma in small bowel: a rare case report of chronic gastrointestinal bleeding
10.4174/astr.2018.94.1.52
- Author:
Dae Ro LIM
1
;
Jung Cheol KUK
;
Taehyung KIM
;
Eung Jin SHIN
Author Information
1. Section of Colon and Rectal Surgery, Department of Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. colon@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Lymphangioma;
Endoscopy;
Surgery
- MeSH:
Adult;
Anemia;
Endoscopy;
Follow-Up Studies;
Hemorrhage;
Humans;
Ileum;
Jejunum;
Lymphangioma;
Lymphatic System;
Melena;
Thrombosis
- From:Annals of Surgical Treatment and Research
2018;94(1):52-56
- CountryRepublic of Korea
- Language:English
-
Abstract:
Small bowel lymphangioma is a rare benign tumor of the lymphatic system, characterized by the presence of dilated lymphatic spaces and significant gastrointestinal bleeding. Small bowel lymphangiomas are rare in adults and case reports are few. Lymphangiomas in the jejunum or ileum are extremely rare and account for less than 1% of all lymphangiomas. The case reported herein is of an older patient (70-year-old male) with melena and chronic anemia (hemoglobin count < 5 g/dL) who had small-sized multiple lymphangiomas in his small bowel (jejunum). Surgical resection was performed after failure of treatment by gastroenteroscopy. Final pathological analysis revealed lymphangioma with thrombus and hemorrhage. After surgery, he no longer had decreased hemoglobin count, nor symptoms of anemia and melena. Also, at the last follow-up visit, the patient's hemoglobin count patient was normal and he returned to normal daily functions.
