Jejunal cavernous lymphangioma: successful endoscopic treatment of a rare cause of small bowel bleeding

João, Mafalda

doi:10.20524/aog.2021.0662

Cited by 2 publications

(3 citation statements)

References 1 publication

(1 reference statement)

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“…Recently, compelling evidence has demonstrated the feasibility, efficacy, and safety of endoscopic resection for patients with lymphangiomas smaller than 2 cm[ 16 , 18 , 19 , 21 , 28 ]. Conservative therapies, such as cryotherapy, laser therapy, and local administration of sclerosing agents, are disfavored[ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Intermittent melena and refractory anemia due to jejunal cavernous lymphangioma: A case report

Liu,

Zhang,

Chen

et al. 2024

World J Gastrointest Surg

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BACKGROUND Lymphangiomas in the gastrointestinal tract are extremely rare in adults. As a benign lesion, small intestine lymphangiomas often remain asymptomatic and pose challenges for definitive diagnosis. However, lymphangiomas can give rise to complications such as abdominal pain, bleeding, volvulus, and intussusception. Here, we report a case of jejunal cavernous lymphangioma that presented with intermittent melena and refractory anemia in a male adult. CASE SUMMARY A 66-year-old man presented with intermittent melena, fatigue and refractory anemia nine months prior. Esophagogastroduodenoscopy and colonoscopy were performed many times and revealed no apparent bleeding. Conservative management, including transfusion, hemostasis, gastric acid secretion inhibition and symptomatic treatment, was performed, but the lesions tended to recur shortly after surgery. Ultimately, the patient underwent capsule endoscopy, which revealed a more than 10 cm lesion accompanied by active bleeding. After single-balloon enteroscopy and biopsy, a diagnosis of jejunal cavernous lymphangioma was confirmed, and the patient underwent surgical resection. No complications or recurrences were observed postoperatively. CONCLUSION Jejunal cavernous lymphangioma should be considered a cause of obscure gastrointestinal bleeding. Capsule endoscopy and single-balloon enteroscopy can facilitate diagnosis. Surgical resection is an effective management method.

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Section: Discussionmentioning

confidence: 99%

Intermittent melena and refractory anemia due to jejunal cavernous lymphangioma: A case report

Liu,

Zhang,

Chen

et al. 2024

World J Gastrointest Surg

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“…Patients under 18 years old were excluded, and those whose pathology showed “cavernous lymphangioma” were included. There were 23 cases in English literature from 1961 to 2021 ( 5 , 8 , 9 , 17 – 33 ). Women account for 56.5% (13/23) of all cases, young people who were under 50 years old made up 56.5% (13/23) of them, there were 52.2% (12/23) cases whose lesions were located in the jejunum and there were 47.8% (11/23) Asian patients ( Supplementary Table S1 ).…”

Section: Discussionmentioning

confidence: 99%

“…Until she ate something and then presented with abdominal pain and vomiting again, they agreed to surgery. With the popularity of endoscopy, successful microscopic resection of the lesion has also been performed instead of surgery ( 17 , 33 ). Surgical resection of part of the small intestinal after endoscopic labeling was successful in some cases ( 9 , 26 ).…”

Section: Discussionmentioning

confidence: 99%

Case report: Submucosal cavernous lymphangioma causing jejuno-jejunal intussusception in an adult

Zhao

Wang

et al. 2022

Front. Surg.

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Cavernous lymphangioma often occurs in the head, neck, trunk, and extremities of infants and children, and it is rare to cause a small intestine intussusception in adults. In this case, a 32-year-old woman presented with abdominal pain, vomiting, and a 5 cm × 5 cm abdominal mass on the left side of the abdomen. Laboratory tests showed anemia and CT showed small intestinal intussusception. After conservative treatments, her symptoms disappeared. However, 18F-FDG PET/CT suggested malignancy and her symptoms reappeared after eating something. Segmental jejunal resection was performed and pathology showed submucosal cavernous lymphangioma. At the 1-year follow-up, the patient was asymptomatic. Then this paper reviewed the literature on small intestinal cavernous lymphangioma in adults and found that this is the first English case report of intussusception caused by a jejunal submucosal cavernous lymphangioma in an adult. Current problem is that adult intussusception and intestinal lymphangioma are difficult to diagnose preoperatively. Imaging techniques such as tomography and PET/CT aid in the diagnosis of these benign lesions. Surgical resection was considered to be the required treatment and seems to have had no recurrence in adults according to the literature.

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Jejunal cavernous lymphangioma: successful endoscopic treatment of a rare cause of small bowel bleeding

Cited by 2 publications

References 1 publication

Intermittent melena and refractory anemia due to jejunal cavernous lymphangioma: A case report

Intermittent melena and refractory anemia due to jejunal cavernous lymphangioma: A case report

Case report: Submucosal cavernous lymphangioma causing jejuno-jejunal intussusception in an adult

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