Jejunal lymphangioma and recurrent intussusception in an adult patient; a case report and review of literature

Iwaz, Suzanne; Aardsma, Nathan; Emmadi, Rajyasree

doi:10.1016/j.ehpc.2017.12.003

Cited by 2 publications

(4 citation statements)

References 3 publications

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“…Šileikis A et al suggested that abdominal lymphangiomas occurred more frequently in young men (7). There were 4 jejuno-jejunal and 2 ileo-ileal intussusception cases secondary to small intestinal lymphangioma in adults but were not cavernous lymphangiomas (10)(11)(12)(13)(14)(15). Wan YL et al reported the first case of cystic lymphangioma of the cecal intussusception in an adult (16).…”

Section: Discussionmentioning

confidence: 99%

“…Zhao et al 10.3389/fsurg.2022.953840 mesenteric vessels and removal of the associated mesentery, regional lymph nodes, and adjacent organs the lesion involved. Nuclear imaging of lymphatic vessels and lymphangiography have a direct diagnostic role in defining the lesion, and detecting lymphatic patency and can be used to assess the function of the lymphatic system (40).…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

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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“…Lymphangiomas are benign tumors comprised of congenitally dilated lymphatic channels and occur most often in the axilla, head and neck [ [1] , [2] , [3] ]. Lymphangioma of the GI tract comprises only 1% of lymphangioma diagnoses, but with increased utilization of endoscopic procedures the incidental discovery of these tumors in GI tract is increasing, leading us to believe the are more common than previously reported [ 2 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is important to distinguish lymphangioma from lymphangiectasia. Lymphangiomas are congenital dilated spaces that have a covering of endothelium smooth muscle, whereas lymphangiectasia is dilation due to lymphatic obstruction of changes in flow with only a thin incomplete endothelial covering [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Jejunal lymphangioma causing intussusception in an adult: An unusual case with review of the literature

Samuelson

Giannotti

Guralnick

2018

Annals of Medicine and Surgery

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IntroductionAdult intussusception is rare, and 90% are due to a lead point secondary to a pathologic condition. Lymphangioma is an uncommon tumor of the lymphatic system and is rarely found within the small bowel. Small bowel lymphangioma causing intussuception in an adult is a rare occurrence, with three very distinct rare pathologies occurring simultaneouslyCase descriptionA 70-year-old male patient with multiple pre-existing pathologies such as advanced ADPKD, multiple persistent tubulovillous colon polyps and colon cancer in situ, was hospitalized due to rapid weight loss of 20 lbs, hematemesis, and abdominal pain. He was subsequently found to have jejunal intussusception caused by two lymphangiomas of the small bowel. The portion of intussuscepted jejunum was resected and final diagnosis on pathology was two jejunal lymphangiomas.DiscussionLymphangiomas of the small bowel are rare, but increasing in incidence due to the accessibility of endoscopic evaluations. A hypothetical connection between lymphangioma and ADPKD is unknown, but both diseases are built on a foundation of cystogenesis. There is little known about the effect ADPKD on cystogenesis and tumor formation extra-renally, and there is a possible correlation between genetic mutations in polycystin and cystic tumors such as lymphangiomas.ConclusionLymphangioma, although rare in the small bowel, is a possible cause of intussusception and should be considered on the differential of abdominal pain in adults. The pathogenesis of polycystic kidney disease has implications that could predispose to cystic development beyond the kidney, and more research into the genetic mechanism behind the disease is necessary to support or deny this claim.

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Jejunal lymphangioma and recurrent intussusception in an adult patient; a case report and review of literature

Cited by 2 publications

References 3 publications

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

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

Jejunal lymphangioma causing intussusception in an adult: An unusual case with review of the literature

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