Lymphangioma of the Colon: Roentgen Aspects

Arnett, Norman L.; Friedman, Paul

doi:10.1148/67.6.882

Cited by 35 publications

(5 citation statements)

References 4 publications

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“…To date there have been six cases of lymphatic cysts of the colon documented; one was found in the ascending colon (Arnett and Friedman, 1956), one in the hepatic flexure (Alvich and Lepow, 1960), three in the transverse colon (Koenig, Claudon, and Byrne, 1955;Higgason, 1958;Greene, Kirshen, and Greene, 1962), and one in the descending colon (Fleming and Carlson, 1970).…”

Section: Discussionmentioning

confidence: 99%

“…Gerster (1939) has shown that cystic lymphangiomata may arise from cavernous lymphangiomata and may have cavernous lymphatic tissue in their walls. Arnett and Friedman (1956) first described the radiological appearences of the lesion as 'a sharply marginated peripheral oval to round colonic defect indicating an intramural location. It is associated with an intact mucosa.'…”

Section: Discussionmentioning

confidence: 99%

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Lymphatic cysts of the colon

Girdwood¹,

Philp²

1971

Gut

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SUMMARY A patient with a lymphatic cyst of the descending colon is reported. He underwent segmental resection of the colon. The clinical features, pathology, radiology, and treatment of these lesions are reviewed. It is emphasized that these cysts are very rare and cannot be diagnosed radiologically, but must be included in the differential diagnosis of polypoid lesions of the colon.Lymphatic cysts (cystic lymphangiomata, lymphangiomatous, lymphangiectatic, or chylous cysts) of the abdomen are rare and can occurinthemesentery, omentum, retroperitoneum, and very occasionally in the wall of the stomach, duodenum, and the small or large intestine.The extreme rarity of the lesion and the interesting radiological appearances and differential diagnosis warrant the report of a case and a brief review of the literature. Case ReportA 65-year-old man reported a three-month history of left-sided abdominal colic and melaena. He had a normal bowel habit and there was no vomiting.On examination there was guarding and tenderness in the central abdomen and left hypochondrium. No mass could be palpated.Rectal and sigmoidoscopic examinations were negative. Double-contrast barium enema study demonstrated a large, smoothly outlined and well circumscribed polypoidal lesion with a broad base on the medial wall of the descending colon ( Figs. 1 and 2). There was diverticular disease of the sigmoid colon.At laparotomy the polypoidal mass was palpated in the upper third of the descending colon, but suddenly disappeared. (Subsequently, this was found to be due to rupture and emptying of the cyst during palpation.) A segmental resection was undertaken. The resected colon was opened and a large redundant fold of mucosa was found which was clearly all that remained of a ruptured cyst. The lesion was inflated with water and a photograph taken (Fig. 3).Received for publication 26 June 1971. PathologyThe inflated specimen was thin walled and measured 2.5 cm in diameter.Histology revealed a large unilocular submucosal cyst lined with flattened endothelium and the appearances were in keeping with those of a lymphatic cyst. There was no evidence of malignant change. DiscussionLymphatic cysts of the gut are extremely rare entities. A review of these cysts at the Mayo Clinic over a 36-year period revealed nine cases; six of these were found in the mesentery, two in the retroperitoneum, and one was of undetermined origin. No mural cysts of the alimentary tract were reported (Beahrs, Judd, and Dockerty, 1950).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Lymphatic cysts of the colon

Girdwood¹,

Philp²

1971

Gut

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“…Arnett et al [6] reported a single case of lymphangioma arising in the ascending colon. When the specimen was sectioned, the microscopic diagnosis was: "vascular malformation of the large intestine, consistent with lymphangioma."…”

Section: Case Reportsmentioning

confidence: 99%

Colonic lymphangioma

Lawson

Myerson

1976

Gastrointest Radiol

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“…The findings of the barium enema are a smooth surface and morphologic change occurring with change in physical position 7 . We did not perform barium enema.…”

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confidence: 99%