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

Krishna, Somashekar G.; Stroehlein, John R.; Foo, Wai Chin; Suzuki, Rei; Reddy, Satish; Bhutani, Manoop S.

doi:10.1055/s-0031-1291568

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…A case was previously reported by our group[ 24 ] of a 4-cm cecal, subepithelial mass seen on colonoscopy with through-the-scope, miniprobe EUS demonstrating an anechoic, multiseptated, submucosal cecal cystic lesion with intact muscularis propria . These images were consistent with CCL.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of cystic lymphangioma of the colon by endoscopic ultrasound: Biopsy is not needed!

et al. 2016

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Cystic lymphangioma of the colon (CLC) is a rare benign lesion that is usually asymptomatic and found incidentally during colonoscopy. Limitations in the conventional noninvasive diagnostic techniques have led to surgical resection of these lesions for diagnostic confirmation. Classic endoscopic ultrasound (EUS) findings of colonic cystic lymphangioma are submucosal anechoic cystic spaces with septations, intact muscularis propria, and no solid component. Patients who are asymptomatic with lesions having classic appearance as cystic lymphangioma with EUS can be observed without any intervention. We herein report a case of cystic lymphangioma of distal transverse colon in an asymptomatic patient diagnosed noninvasively using 20-MHz miniprobe EUS and managed conservatively without any surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Diagnosis of cystic lymphangioma of the colon by endoscopic ultrasound: Biopsy is not needed!

et al. 2016

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“…Additionally, biopsy is not without risks. One case report described an occurrence of iatrogenic infection after a cold-forceps biopsy of an incidental colonic cystic lymphangioma [ 13 ]. On EUS, this lesion had the classical endosonographic features of a lymphangioma.…”

Section: Discussionmentioning

confidence: 99%

An Incidental Finding of a Cecal Lymphangioma Managed Conservatively

Mitchell,

Reyes,

Lourdusamy

et al. 2024

Cureus

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Colonic lymphangiomas are rare and mostly incidental findings found on colonoscopy. It is important to be able to differentiate them from other lesions, such as lipomas. Furthermore, when in close proximity to the appendiceal orifice, such as cecal lesions, they must be differentiated from mucocele and carcinoid tumors. We present a case of a cecal lymphangioma that was managed conservatively. By using endoscopic ultrasound (EUS) and computed tomography to better characterize the cecal mass, it was unnecessary to perform a biopsy or polypectomy. This case highlights that biopsy and/or removal of lymphangiomas are not warranted in all cases of colonic lymphangiomas, especially when lesions are less than 2 cm.

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Laparoscopic segmental colectomy for colonic lymphangiomas: A definitive, minimally invasive surgical option

Zhuo

Shi

Ying

et al. 2014

WJG

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Colonic lymphangioma is an unusual benign malformation. We herein describe two cases. A 36-year-old woman was admitted with one year of intermittent abdominal pain; colonoscopy, abdominopelvic computed tomography and endoscopic ultrasonography (EUS) revealed enlarged cystic masses at the ascending colon. In another 40-year-old man, colonoscopy and EUS revealed an asymptomatic lobulated cystic mass with four small sessile polyps at the sigmoid colon. Both patients underwent laparoscopic segmental colectomy. Both masses were histologically confirmed as cystic lymphangiomas, and the patients were discharged without complications. The management of colonic lymphangioma depends on the individual situation; close surveillance or endoscopic therapy may be appropriate for asymptomatic lesions smaller than 2.5 cm in diameter. Surgical intervention can be considered for larger lesions or in patients who develop complication risks. Laparoscopic segmental colon resection may be recommended to excise relatively large submucosal lesions because it is a definitive, minimally invasive intervention with a fast postoperative recovery.

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

Abstract: UCTN -Unusual cases and technical notes E105This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

Cited by 3 publications

References 3 publications

Diagnosis of cystic lymphangioma of the colon by endoscopic ultrasound: Biopsy is not needed!

Diagnosis of cystic lymphangioma of the colon by endoscopic ultrasound: Biopsy is not needed!

An Incidental Finding of a Cecal Lymphangioma Managed Conservatively

Laparoscopic segmental colectomy for colonic lymphangiomas: A definitive, minimally invasive surgical option

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