Lymphangiomatosis of the colon mimicking acute appendicitis

Yağcı, Mehmet Ali; Sezer, Atakan; Yeldan, Eyüp; Coşkun, İrfan; Hatipoğlu, Ahmet; Altaner, Semsi; Umit, Hasan

doi:10.4103/0019-509x.76651

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Abdominal lymphangiomas are most commonly found in the mesentery of small bowel (80%), and have been suggested to result from an embryological failure of the lymphatics when primary lymphatic sacs fail to join the lymphatic system [2] . Other possible theories include acquired inflammation of lymphatic channels leading to obstruction and subsequent cystic lymphangioma [8] . This has been supported by an in vivo study in which corneal lymphangiogenisis was induced by thermal cauterization, in a mouse cornea.…”

Section: Discussionmentioning

confidence: 99%

“…Cystic lymphangiomas on histology appeared as irregular cysts with walls composed of smooth muscle cells and fibrocytes, and the inner surface was covered with flat endothelial epithelium, dilated lymphatic lacunae, abdundant lymphatic lymphocyte, or lymphoid tissues [10] . Also, the human endothelial marker podoplanin, which is recognized by the monoclonal ab D2-40 has been identified as a useful marker for lymphatic neoplasms [8] .…”

Section: Discussionmentioning

confidence: 99%

“…However, resection of the lymphangioma can be performed endoscopically or surgically. Typically, endoscopic resection is performed for lymphangiomas 2 cm or less in the maximal diameter [8] . In certain cases, cysts cannot be completely removed without injuring contiguous viscera, in which case there are two alternative treatments.…”

Section: Discussionmentioning

confidence: 99%

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Small bowel lymphangioma causing ileo-ileal intussusception in adults

Khan

Kleess

Ganga

et al. 2017

International Journal of Surgery Case Reports

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HighlightsLymphangioma is a benign tumor which is rarely found in gastrointestinal tract.They are mainly due to malformations of the lymphatic system.Colonoscopy and endoscopic ultrasonography are frequently used to diagnose lymphangiomas of the small bowel.The clinical presentation of abdominal lymphangioma is diverse, however typically patients are asymptomatic or have nonspecific symptoms, signs and symptoms include intermittent, cramping abdominal pain, diarrhea, fullness, abdominal mass.GI bleed occurs in cases in which abdominal lymphangioma occur within the bowel.The definitive treatment for gastrointestinal cystic lymphangioma is resection, with resection of the involved segment of bowel the most preferred procedure.However, resection of the lymphangioma can be performed endoscopically or surgically. Post surgery patients do well.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Small bowel lymphangioma causing ileo-ileal intussusception in adults

Khan

Kleess

Ganga

et al. 2017

International Journal of Surgery Case Reports

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Case report – An acute presentation of lymphangiomatosis

Nason

Barry

Shatwan

et al. 2012

International Journal of Surgery Case Reports

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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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Lymphangiomatosis of the colon mimicking acute appendicitis

Cited by 3 publications

References 4 publications

Small bowel lymphangioma causing ileo-ileal intussusception in adults

Small bowel lymphangioma causing ileo-ileal intussusception in adults

Case report – An acute presentation of lymphangiomatosis

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

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