Caecal lymphangioma: a rare cause of gastrointestinal blood loss

Rai, Praveer; Rao, Ram Nawal; Chakraborthy, SR

doi:10.1136/bcr-2013-008866

Cited by 12 publications

(15 citation statements)

References 10 publications

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“…Diagnostic methods, such as abdominal US and CT, are useful in diagnosing tumour, although cavernous lymphangiomas, which appear on CT as a solid mass, may be confused with metastases in patients with malignancy [2,10]. In our experience, all patients were diagnosed with a lymphangioma preoperatively.…”

Section: Discussionmentioning

confidence: 75%

“…In adults, they are often asymptomatic or with nonspecific symptoms, therefore observed late [2]. According to some authors, like in our experience, lymphangioma tends to be diagnosed in young males [13].…”

Section: Discussionmentioning

confidence: 99%

“…Lymphangiomas are classified into three histologic types: capillary, cystic, and cavernous. The capillary type is usually found in the skin (mostly in the neck, head and axillary region) [2,3]. Cystic and cavernous lymphangiomas usually are intraabdominal -5% of all diagnosed [4].…”

Section: Introductionmentioning

confidence: 99%

“…The most common symptom of lymphangioma is abdominal pain [12]. In some cases, lymphangioma can cause gastrointestinal bleeding [2]. The main treatment choice for lymphangiomas in the abdomen is surgery.…”

Section: Introductionmentioning

confidence: 99%

“…However, the diagnosis of intraabdominal lymphangioma is quite difcult as it is usually asymptomatic [2,11]. The most common symptom of lymphangioma is abdominal pain [12].…”

Section: Introductionmentioning

confidence: 99%

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Abdominal lymphangiomas in adults: case report and literature review

Šileikis

Danys

Žaldokas

et al. 2015

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Intraabdominal lymphangioma is rare and comprises 5% of all lymphangiomas. In adults, it is less common than in children, and because of a benign progress lymphangioma is usually asymptomatic and its diagnosis is quite difficult. However, it is recommended to extirpate lymphangioma surgically to avoid complications. There is the question if lymphangioma should be completely excised to avoid relapses. We present a case of cavernous lymphangioma in an adult male who underwent a partial resection of the tumour. After ten years of observation, there is no evidence of tumour recurrence. Key words: lymphangioma, cavernous, cysticPilvinės limfangiomos pasireiškia retai ir sudaro mažiau nei 5 % visų limfangiomų. Suaugusiesiems limfangiomos pasitaiko rečiau nei vaikams, dėl gerybinės eigos jos būna besimptomės ir sunkiai diagnozuojamos. Vis dėlto siekiant išvengti komplikacijų rekomenduojamas chirurginis limfangiomų šalinimas. Literatūroje išlieka diskusinis klausimas, ar būtina visiškai pašalinti limfangiomas siekiant išvengti jų atkryčio. Mes aprašome kaverninės limfangiomos atvejį vyrui, kuriam buvo atlikta dalinė rezekcija. Po dešimties stebėjimo metų atkryčio nerasta.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…However, the diagnosis of intraabdominal lymphangioma is quite difcult as it is usually asymptomatic [2,11]. The most common symptom of lymphangioma is abdominal pain [12].…”

Section: Introductionmentioning

confidence: 99%

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Abdominal lymphangiomas in adults: case report and literature review

Šileikis

Danys

Žaldokas

et al. 2015

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Lymphangiomatosis of the ileum with perforation: A case report and review of the literature

Giuliani

Romano

Coletti

et al. 2019

Annals of Medicine and Surgery

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Lymphangiomatosis is a benign proliferation of lymph vessels. Lymphatic diseases can vary from small lymphangioma to generalized lymphangiomatosis, which is a rare condition and can have several clinical manifestations. The gastrointestinal tract may be affected, but the incidence in the intestinal wall is very low. We propose in our study a case of ileal lymphangiomatosis presenting with perforation, in which the diagnosis was made after the pathological analysis of the resected intestinal tract. Although rare and not described in the literature, intestinal lymphangiomatosis could manifest itself with acute abdomen and could be a surgical urgency. This disease should be considered when intestinal perforation is observed.

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Unusual location and complication of a cystic lymphangioma: A case report

Rebai

Mahmoud

Ouadi

et al. 2020

Annals of Medicine and Surgery

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Introduction This paper reports an uncommon location and complication of a cystic lymphangioma. Few cases of infected colonic cystic lymphangioma were described in literature. Symptoms are non-specific and setting the diagnosis on radiological features remain challenging. Urgent open surgery is generally required for therapeutic and diagnostic purposes. Presentation of case We describe a case of a young man who presented with an acute abdomen mimicking bile peritonitis, infected tumor of the colon or even a complicated hydatid disease of the liver, which is endemic in our country. CT-scan was compulsory to suspect the diagnosis of infected cystic lymphangioma but remained insufficient to rule out other more frequent diagnoses. The patient underwent an emergency open surgery consisting in a bowel resection, in whose case an infected cystic lymphangioma was barely suspected preoperatively but confirmed by the pathological examination of the specimen. No postoperative complications were noticed. Discussion Setting the diagnosis of an infected cystic lymphangioma of the colon is tough. Many differential diagnoses are more frequently suspected and radiological examinations can be helpful. However, an emergency surgery is mandatory in order to avoid septic shock and resect the lesion, sometimes at the cost of bowel resection. Laparoscopic or endoscopic treatments are feasible but are not the standard in emergency cases. Conclusion Acute presentation of cystic lymphangioma of the colon is very scarce and can be life-threatening leading to urgent open surgery, although endoscopic or laparoscopic treatment remain feasible. Further studies are needed to select which technique is suitable for this disorder.

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Caecal lymphangioma: a rare cause of gastrointestinal blood loss

Cited by 12 publications

References 10 publications

Abdominal lymphangiomas in adults: case report and literature review

Abdominal lymphangiomas in adults: case report and literature review

Lymphangiomatosis of the ileum with perforation: A case report and review of the literature

Unusual location and complication of a cystic lymphangioma: A case report

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