Cystic lymphangiomas of the colon

Sato, Koichi; Maekawa, Takeo; Yabuki, Kiyotaka; Tomita, Natsumi; Eguchi, Masanobu; Matsumoto, Michio; Sugiyama, Noriyoshi

doi:10.1007/s005350050307

Cited by 18 publications

(19 citation statements)

References 10 publications

(6 reference statements)

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“…Complete surgical resection is the first choice for large lymphangiomas accompanied with complications such as bowel obstruction, bleeding, volvulus or intussusception (5). With the development of endoscopy, endoscopic resection is preferred for pedunculated and semipedunculated lesions of <2 cm (20). In the present case report, the patient exhibited recurrent bowel bleeding, and his lesions measured ≤10 cm; thus, laparoscopy-assisted surgical resection was conducted.…”

Section: Discussionmentioning

confidence: 80%

Lymphangiomatosis of the sigmoid colon - a rare cause of lower gastrointestinal bleeding: A case report and review of the literature

2016

Oncology Letters

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Abstract. The present study reports the case of a 79-year-old Chinese man who presented to The First Affiliated Hospital of Xi'an Jiaotong University (Xi'an, China) for the treatment of lower gastrointestinal bleeding. Multiple cystic masses in the sigmoid colon were observed with colonoscopy, and through endoscopic ultrasound (EUS), these cystic masses were confirmed to be echo-free and to exhibit septal walls in the submucosal layer; in consequence, lymphangiomatosis of the sigmoid colon was diagnosed. Considering the repeated bleeding, laparoscopy-assisted partial sigmoid colon resection was performed. The excised specimens were multiple vesicular and soft masses of ~1 cm in diameter, which were located in the submucosal layer and were surrounded by flat endothelial cells. Immunohistochemistry revealed that the specimens were positive for the specific lymphatic endothelial marker D2-40. The pathological diagnosis was consistent with the EUS findings. In the 2-year follow-up after the operation, no bleeding or other complications were noticed.

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Section: Discussionmentioning

confidence: 80%

Lymphangiomatosis of the sigmoid colon - a rare cause of lower gastrointestinal bleeding: A case report and review of the literature

2016

Oncology Letters

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“…Hepatic fibrosis is triggered by recurrent liver injury, which results in the activation of perivascular stellate cells and other myofibroblasts [4] . This process may be reversible in its early stages, and there are reports of regression of liver fibrosis after biliary drainage in patients with chronic pancreatitis [5] . However, it is unusual to have significant improvement in hepatic fibrosis after years of liver injury.…”

Section: Discussionmentioning

confidence: 99%

An unusual presentation of primary sclerosing cholangitis

Goldwire

Norris²,

Koff³

et al. 2008

WJG

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This case report describes the unusual presentation of a patient who had findings which were initially suggestive of a type Ⅳ choledochal cyst. Her liver biopsy demonstrated biliary cirrhosis. She was treated with endoscopic retrograde cholangiopancreatography and biliary stent exchanges over one year. Her cholangiogram one year later demonstrated resolution of the biliary cystic dilation which led to her initial diagnosis, with beading and stricturing of the hepatic ducts consistent with primary sclerosing cholangitis. Liver-associated enzymes and physical findings also improved. A liver biopsy one year later demonstrated a marked improvement in hepatic fibrosis with no evidence of cirrhosis.

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“…Endoscopic resection has been recently performed for the diagnosis and treatment of colonic lymphangiomas [1] . Endoscopic mucosectomy has been recommended for pedunculated tumors less than 2 cm in diameter [1,5] . We report a colonic lymphangiomatosis associated with anemia and abdominal discomfort, which was treated with endoscopic mucosal resection.…”

Section: Discussionmentioning

confidence: 99%

“…Lymphangioma is a lymphatic malformation which shows benign proliferation of lymph vessels, with the characteristics of submucosal tumors covered with normal mucosa [1][2][3][4][5] . It may occur anywhere but rarely in the colon.…”

Section: Introductionmentioning

confidence: 99%

Colonic lymphangiomatosis associated with anemia

Chung

Kim²,

Yoo³

et al. 2008

WJG

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Lymphangioma is an uncommon malformation of lymphatic system. Multiple colonic lymphangioma named as lymphangiomatosis is considered an extremely rare disease. Although lymphangioma is a benign tumor and most colonic lymphangiomas do not cause symptoms and do not require treatment, resection of lymphangioma is necessary in the presence of symptoms such as abdominal pain, bleeding, intussusceptions. We report a case of colonic lymphangiomatosis in a man who presented with abdominal discomfort and anemia, which was diagnosed and treated with endoscopic snare polypectomy.

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Cystic lymphangiomas of the colon

Cited by 18 publications

References 10 publications

Lymphangiomatosis of the sigmoid colon - a rare cause of lower gastrointestinal bleeding: A case report and review of the literature

Lymphangiomatosis of the sigmoid colon - a rare cause of lower gastrointestinal bleeding: A case report and review of the literature

An unusual presentation of primary sclerosing cholangitis

Colonic lymphangiomatosis associated with anemia

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