Lymphangioma of the duodenum: Report of a case

Abstract

A case of lymphangioma of the duodenum with a successful preoperative diagnosis is reported herein. A 76-year-old man who complained of tarry stool was found to have a hemorrhagic polypoid tumor in the third portion of the duodenum. The tumor was diagnosed histologically as cavernous lymphangioma by endoscopic biopsy. Since such a tumor is essentially benign, a partial resection of the duodenum including the tumor was performed. Therefore, an endoscopic biopsy seems to be valuable in the diagnosis of duodenal lymphangioma.

Observation of Lymphangioma of the Duodenum by a Magnifying Endoscope with a Narrow-Band Imaging System

“…Macroscopically, duodenal lymphangiomas appear as submucosal tumors [4, 5, 6, 7, 8]. White-colored spots on the surface have been reported in previous case reports [4, 5, 6] as well as in our case.…”

“…Most lymphangiomas arise in the neck and axilla; the gastrointestinal tract is relatively infrequently affected [1, 2, 3]. Although the macroscopic features of duodenal lymphangioma are known as submucosal tumors with white-colored spots [4, 5, 6, 7, 8], magnifying endoscopic images have never been reported. In this paper, we describe a case of duodenal lymphangioma observed by a magnifying endoscope with a narrow-band imaging system.…”

Jejunal hemorrhage due to hemolymphangioma successfully detected and controlled by double‐balloon enteroscopy

“…Intestinal lymphangiomas/hemolymphangiomas are relatively rare benign neoplasms and mostly subclinical. Bleeding is an important manifestation in usually ≥20 mm tumors 1,2 . Our case suggests that lymphangiomas, even if small, can cause life‐threatening gastrointestinal hemorrhage.…”

“…Bleeding is an important manifestation in usually ≥20 mm tumors. 1,2 Our case suggests that lymphangiomas, even if small, can cause life-threatening gastrointestinal hemorrhage.…”

Jejunal hemorrhage due to hemolymphangioma successfully detected and treated by double-balloon enteroscopy

“…]20 mm tumors. 1,2 Our case suggests that lymphangiomas, even if small, can cause life-threatening gastrointestinal hemorrhage.…”