Colonic lymphangiomatosis associated with anemia

Abstract

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.

Abdominal lymphangiomatosis in a 38-year-old female: Case report and literature review

“…It is difficult to perform a complete resection when multiple lesions are found, as our patient continued to present melena and hypoproteinemia. Other treatments reported include endoscopic snare polypectomy, interferon-alpha, radiation therapy, propranolol, bevacizumab, sirolimus, percutaneous drainage and sclerotherapy, among others [4,[12][13][14][15][16][17][18][19] . The initiation of a low-fat diet in this patient was able to effectively raise the hemoglobin level and the total serum protein level [7] .…”

Dental management of lymphangiomatosis: case report

“…Recognition of this feature along with a detailed medical history ruling out more common pathologies and appropriate referral highlight the role of the general dental practitioner (GDP) in the management of these cases. Lymphangiomatosis has been associated with anaemia, which has a variety of oral manifestations including generalised stomatitis, mucosal pallor, atrophy of the filiform papillae of the tongue, glossitis, dysgeusia, angular cheilitis, gingivitis, recurrent aphthous ulcers and Plummer‐Vinson syndrome. Increased fibrovascular connective tissues and vascular spaces resulting from unregulated lymphatic proliferation indicate the potential for gingival overgrowth and mucosal thickening.…”

Case report – An acute presentation of lymphangiomatosis

“…However when they present with bleeding, pain or intussusceptions, resection may be necessary. 4,5 There is ongoing discrepancy in the limited available literature, ranging from spontaneous resolution and surveillance 6 structures and developing complications. Losanoff and Kjossev reported a young man presenting with an acute abdomen who had an incidental finding of pedicled cystic mass of the mid-ileal mesentery, causing a volvulus.…”

“…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. 2 …”