A Clinical Evaluation of Lymphangioma of the Large Intestine A Case Presentation of Lymphangioma of the Descending Colon and a Review of 279 Japanese Cases.

Abstract

With the development and widespread use of colonoscopy, lymphangioma of the large intestine has recently been reported frequently. This paper presents some findings from a review of 279 cases of this disease in Japan, including a typical case that we encountered. A 69-year-old female was diagnosed as having lymphangioma of the descending colon based on the findings of a barium enema and a colonoscopy, and the lesion was successfully removed by an endoscopic resection. In the published reports, the etiology of this disease is not clear yet but the age at onset range shows a tendency toward a higher incidence in comparatively older patients and the male-to-female ratio indicates a higher incidence in males. If there is no complication, endoscopic treatment seems to be the preferable procedure for this disease.

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

“…In 1932, Chisholm and Hillkowitz reported the first case of rectal lymphangioma (8). For a long time, colonic lymphangioma has been regarded as an exceptionally rare illness (5).…”

“…With the widespread use of colonoscopy, an increased number of colonic lymphangiomas have been detected (5). Although the specific mechanisms contributing to colonic lymphangioma are unclear, the acknowledged main cause is a congenital malformation of the lymphatic system, which results in an abnormal dilatation and proliferation of the lymphatic channel, leading to the formation of cystic masses (9,10).…”

“…The majority of lymphangiomas usually occur in the head, neck regions and axillary areas, but rarely in the colon (2)(3)(4). Colonic lymphangioma used to be considered an extremely rare disease, but recently, along with the increasing prevalence of endoscopy and endoscopic ultrasound (EUS), it has become more commonly encountered and has been reported more frequently (5,6). There are several reports on the use of EUS for the diagnosis of colonic lymphangioma (4,6).…”

An unusual presentation of primary sclerosing cholangitis

“…PSC occurs more commonly in men, is frequently associated with ulcerative colitis (73%) and is a risk factor for cholangiocarcinoma [1] . We report an unusual case of PSC, which was initially diagnosed as a choledochal cyst.…”

Iatrogenic infection of a colonic cystic lymphangioma following cold-forceps biopsy

“…Because CCLs are benign, asymptomatic patients can be managed conservatively by observation [1]. Definitive therapy includes segmental or radical resection for larger lymphangiomas (> 2.5 cm) [3,4]. To our knowledge, there are no published cases of iatrogenic infection of CCLs.…”