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Jejunal cavernous lymphangioma manifested as gastrointestinal bleeding with hypogammaglobulinemia in adult: A case report and literature review

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World Journal of Clinical Cases 2020年第1期8卷 140-148页

作者： Bei Tan Sheng-Yu Zhang Yi-Nan Wang Yuan Li Xiao-Hua Shi Jia-Ming Qian Department of Gastroenterology Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China Department of Obstetrics and Gynecology Peking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China Department of Pathology Peking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China

BACKGROUND lymphangioma is a benign lesion that rarely involves the gastrointestinal tract,especially in *** bowel lymphangioma is a rare cause of gastrointestinal ***,we report a case of an adult diagnosed with jejunal lymphangioma presenting with melena,anemia and *** also summarize and analyze all 23 reported cases from 1961 to 2019,and propose an algorithm for identification and management of small bowel *** SUMMARY A case of a 29-year-old woman presented with persistent melena and irondeficiency anemia,accompanied by *** lesions were found in the initial workup with esophagogastroduodenoscopy,colonoscopy and computed tomography(CT)***,capsule endoscopy and double-balloon enteroscopy revealed a 3 cm×2 cm primary lesion with intensive white lymphatic dilatatory changes and visible fresh blood stains,accompanied by a small satellite *** patient underwent complete surgical resection of these lesions,and histopathological examination confirmed a diagnosis of cavernous lymphangioma of the *** patient showed no evidence of disease at the time of this *** We recommend CT,capsule endoscopy and enteroscopy to identify the lesions of *** surgery with histological diagnosis is an ideal curative method.

关键词： Anemia Case report Gastrointestinal bleeding Hypogammaglobulinemia Jejunum lymphangioma

Experience in the diagnosis and treatment of mesenteric lymphangioma in adults:A case report and review of literature

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World Journal of Gastrointestinal Oncology 2018年第12期10卷 522-527页

作者： Jie Chen Lin Du Dao-Rong Wang Department of Gastroenterology Northern Jiangsu Province People’s Hospital Department of Cardiovascular Affiliated Hospital of Yangzhou University

BACKGROUND Mesenteric lymphangioma(ML) in adults is a very rare disease. We report six hospitalized adult patients with ML in our hospital between January 2013 and July 2018 to investigate the characteristics and prognosis of ML in *** SUMMARY The male-to-female ratio was 3:3, and the median age at diagnosis was 55.2 years. Clinical manifestations varied; however, most were acute cases(5/6). No history of trauma was reported. None(0/6) of the patients were accurately diagnosed with ML in the emergency and outpatient departments. Mesenteric cysts were identified in four patients(66.7%) by abdominal ultrasound and in five patients(83.3%) by computed tomography. ML was postoperatively confirmed by pathology. Most MLs(4/6) were associated with infection of other systems. ML was located in the mesentery of the small intestine(n = 4), ileum(n = 1) and rectum(n = 1). Cyst fluid was clear(n = 4), chylous(n = 1) and bloody(n = 1). Surgical procedures included complete tumor removal and partial intestinal excision(n = 6). Recurrence and adhesive intestinal obstruction were not observed during the 3-12 mo follow-up *** ML in adults is a rare benign acquired disease that can be cured by surgical treatment. Infection may be a cause of ML.

关键词： Mesenteric lymphangioma Mesenteric cyst Adults Acute abdominal pain Case report

Acute spontaneous thoracic epidural hematoma associated with intraspinal lymphangioma: A case report

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World Journal of Clinical Cases 2021年第14期9卷 3411-3417页

作者： Kai-Jay Chia Li-Han Lin Ming-Tse Sung Tsung-Ming Su Jin-Fu Huang Hsiang-Lin Lee Wen-Wei Sung Tsung-Han Lee Division of Neurosurgery Department of SurgeryKaohsiung Chang Gung Memorial Hospital and Chang Gung University College of MedicineKaohsiung 83301Taiwan Department of Radiology Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of MedicineKaohsiung 83301Taiwan Department of Pathology Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of MedicineKaohsiung 83301Taiwan Department of Surgery Chung Shan Medical University HospitalTaichung 40201Taiwan Department of Urology Chung Shan Medical University HospitalTaichung 40201Taiwan

BACKGROUND Spontaneous spinal epidural hematoma is a rare neurosurgical *** SUMMARY A 53-year-old healthy woman suffered from complete paraplegia in both legs and loss of all sensation below the xiphoid *** was diagnosed as acute spontaneous thoracic epidural hematoma caused by an intraspinal *** primary lab survey showed all within normal *** of a posteriorly epidural space-occupying lesion at the T4-T8 level of the spinal canal was confirmed on magnetic resonance imaging.A decompressive laminectomy was performed from the T4 to T7 levels at the sixth hour following abrupt onset of complete *** lesion was confirmed as *** patient recovered well within one *** This study reports a case of acute spontaneous thoracic epidural hematoma caused by an intraspinal lymphangioma with well recovery after surgical intervention.

关键词： lymphangioma Epidural hematoma Intraspinal Paraplegia Decompressive laminectomy Case report

Splenic lymphangioma that manifested as a solid-cystic mass:A case report

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World Journal of Gastroenterology 2013年第5期19卷 781-783页

作者： Fan Yang Wei-Xia Chen Department of Radiology West China Hospital of Sichuan University

lymphangioma,a congenital malformation of the lymphatic system,is usually found in children,and generally occurs in the neck and *** is rarely found in the *** clinical features of splenic lymphangioma typically include abdominal pain,nausea,and abdominal ***,however, this condition is asymptomatic and is incidentally detected by abdominal ultrasonography or by an abdominal computed tomography(CT)*** this paper,we retrospectively describe a case of incidentally detected splenic lymphangioma in a 30-year-old woman with special abdominal contrast material-enhanced CT findings,which was accurately diagnosed by *** clinical and physical examinations related to the mass were negative.A few cases of splenic lymphangioma have been reported previously;however,the presentation of the mass and the enhancement pattern in the contrast medium-enhanced CT images were quite *** findings had misled our abdominal radiologists to consider it as other neoplastic diseases of the spleen.

关键词： lymphangioma Benign tumor Spleen Splenic neoplasia Computed tomography

Surgical excision of a large retroperitoneal lymphangioma: A case report

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World Journal of Clinical Cases 2022年第31期10卷 11561-11566页

作者： John Hee Park Donghyoun Lee Young Hee Maeng Won-Bae Chang Department of Surgery Samsung Medical CenterSeoul 06351South Korea Department of Surgery Jeju National University HospitalJeju-si 63241JejudoSouth Korea Department of Pathology Jeju National University Medical CenterJeju-si 63241Jeju-doSouth Korea Department of Surgery Jeju National University Medical CenterJeju-si 63241Jeju-doSouth Korea

BACKGROUND lymphangiomas are rare benign tumors most commonly found in children under 2 years of age;adult cases are extremely *** lymphangiomas represent less than 1%of all *** of their benign nature and possibility of spontaneous resolution,lymphangiomas are sometimes left untreated for long periods of ***,if they grow large enough to compress surrounding structures,retroperitoneal lymphangiomas may cause symptoms such as abdominal pain,nausea or *** report a case of a rapidly growing retroperitoneal lymphangioma in an adult,treated with complete surgical *** SUMMARY A 60-year-old female who was diagnosed with an intra-abdominal cystic mass(11 cm×9.5 cm)seven years ago presented to our hospital with symptoms of early satiety,nausea,and intermittent abdominal *** tomography(CT)scan confirmed interval enlargement to a 24 cm×22 cm-sized huge left retroperitoneal mass,causing left hydronephrosis by external *** was done via long midline *** to severe adhesion between the aorta and the medial border of the mass,the cyst was intentionally opened for fluid aspiration and size *** suture closure of the opening,we proceeded carefully with *** showed light yellowish serous *** mass was excised completely,and the pathology was consistent with cystic *** post-operative period was uneventful,and the patient was discharged without ***-up CT scan one month after surgery confirmed complete removal of the mass and decreased left *** Excision of the huge retroperitoneal cystic mass resulted in relief of the patient’s symptoms,originally caused by external compression,and also ruled out the possibility of malignancy.

关键词： Retroperitoneum lymphangioma Hydronephrosis Case report

Ileo-ileal intussusception caused by lymphangioma of the small bowel treated by single-incision laparoscopic-assisted ileal resection

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World Journal of Gastroenterology 2017年第1期23卷 167-172页

作者： Atsushi Kohga Akihiro Kawabe Yuto Hasegawa Kiyoshige Yajima Takuya Okumura Kimihiro Yamashita Jun Isogaki Kenji Suzuki Akira Komiyama Division of Surgery Fujinomiya City General Hospital Division of Pathology Fujinomiya City General Hospital

Intraabdominal lymphangiomas are uncommon;additionally,those affecting the gastrointestinal tract are rare and account for less than 1%of *** caused by a cystic lymphangioma of the small bowel is extremely *** patient was a20-year-old woman who visited our emergency room with a complaint of abdominal pain.A computed tomography image revealed ileo-ileal intussusception with a leading hypovascular mass measuring 1 cm in a ***-incision laparoscopic-assisted ileal resection was *** surgical specimen consisted of a soft polycystic ***,a pedunculated polyp with a convolutional pattern was ***,the inner surfaces of the cysts were covered with a single layer of endothelial *** immunohistochemical examination,the endothelial cells were partially positive for D2-40 and *** muscle cells were also found around the *** lesion was diagnosed as a cystic *** of cases of small bowel lymphangiomas have previously been *** these,cases with intussusception were very *** is the first case of small bowel intussusception due to lymphangioma treated by singleincision laparoscopic-assisted surgery.

关键词： Intussusception Single-incision laparoscopic-assisted surgery lymphangioma

Rare case of a solitary huge hepatic cystic lymphangioma

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World Journal of Clinical Cases 2013年第4期1卷 152-154页

作者： Ya-Zhou Zhang Yan-Shuo Ye Li Tian Wei Li Department of Hepatobiliary-Pancreatic Surgery China-Japan Union Hospital of Jilin University Department of Hand Surgery Tengzhou Central People’s Hospital

A hepatic lymphangioma is a rare benign neoplasm and is usually associated with lymphangiomas of other viscera.A hepatic lymphangioma can be solitary,cystic or associated with multiple liver lesions and is characterized by cystic dilatation of lymphatic vessels in the hepatic parenchyma.A solitary lymphangioma is *** we report a rare case of a solitary huge primary hepatic cystic lymphangioma in a 42-yearold *** was discovered on routine physical examination and the patient had no obvious *** and computed tomography(CT) showed a giant "hepatic neoplasm" that occupied the right liver *** lesion was approximately 20.0 cm × 15.0 cm × 10.0 cm in size and contained cystic and solid *** were multiple septa inside the tumor,with some calcifications in the *** resection was *** examination revealed multiple cystic structures lined with epithelial cells on the inner walls,accompanied by interstitial swelling and *** patient has now been followed up for nearly two years after surgery,with no recurrence to date.

关键词： Liver lymphangioma Cyst

lymphangioma of the small bowel mesentery: A case report and review of the literature

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World Journal of Gastroenterology 2012年第43期18卷 6328-6332页

作者： Worapop Suthiwartnarueput Siriphut Kiatipunsodsai Amolchaya Kwankua Utairat Chaumrattanakul Department of Pathology and Forensic Medicine Faculty of Medicine Thammasat University Pathumthani 12120 Thailand Department of Surgery Faculty of Medicine Thammasat University Pathumthani 12120 Thailand Department of Radiology Faculty of Medicine Thammasat University Pathumthani 12120 Thailand

lymphangioma is a rare benign condition characterized by proliferation of lymphatic spaces. It is usually found in the head and neck of affected children. lymphangioma of the small-bowel mesentery is rare, having been reported for less than 1% of all lymphangiomas. Importantly, it can cause fatal complications such as volvulus or involvement of the main branch of the mesenteric arteries, requiring emergency surgery. Moreover, the gross and histopathologic findings may resemble benign multicystic mesothelioma and lymphangiomyoma. Immunohistochemical study for factor Ⅷ-related antigen, D2-40, calretinin and human melanoma black-45 (HMB-45) are essential for diagnosis. Factor Ⅷ-related antigen and D2-40 are positive in lymphangioma but negative in benign multicystic mesothelioma. HMB-45 shows positive study in the smooth-muscle cells around the lymphatic spaces of the lymphangiomyoma. We report a case of smallbowel volvulus induced by mesenteric lymphangioma in a 2-year-and-9-mo-old boy who presented with rapid abdominal distension and vomiting. The abdominal computed tomography scan showed a multiseptated mass at the right lower quadrant with a whirllike small-bowel dilatation, suggestive of a mesenteric cyst with midgut volvulus. The intraoperative findings revealed a huge, lobulated, yellowish pink, cystic mass measuring 20 cm × 20 cm × 10 cm, that was originated from the small bowel mesentery with small-bowel volvulus and small-bowel dilatation. Cut surface of the mass revealed multicystic spaces containing a milky white fluid. The patient underwent tumor removal with small-bowel resection and end-to-end anastomosis. Microscopic examination revealed that the cystic walls were lined with flat endothelial cells and comprised of smooth muscle in the walls. The flat endothelial cells were positive for factor Ⅷ-related antigen and D2-40 but negative for calretinin. HMB-45 showed negative study in the smooth-muscle cells around the lymphatic spaces. Thus, the diagnosis w

关键词： lymphangioma Mesentery Small bowel Volvulus Factor Ⅷ-related antigen D2-40

lymphangioma of the gallbladder in childhood： a case report and review of the literature

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Chinese Medical Journal 2011年第24期124卷 4359-4360页

作者： HAN Wei ZHANG Jin-zhe WANG Huan-min Department of Surgery Beijing Children＇s Hospital Capital Medical University Beijing 100045 China

lymphangiomas are malformations of the lymphatic system, which is a common disease in children, usually superficial in body, but seldom seen in visceral organs. We present the case of a child with lymphangioma of the gallbladder. Also we reviewed the literatures. A 2-year-6-month-old boy complained of progressing difficulty in walking for 6 months. Cerebral MRI showed abnormal signals in the white matter suggesting leukodystrophy. Ultrasound of abdomen showed a mixed-echoic mass in the site of galJbJadder. CT scan showed an enlarged gaiJbJadder with increased density. Bloodcounting, liver function, and alpha fetal protein were within normal range. Exploratory laparotomy was done in order to rule out malignancy. The liver was found normal at surgery, and the gallbladder looked enlarged and deformed. The gallbladder wall was thick and edematous, and adherent with liver. The gallbladder was excised. Pathological examination gave the diagnosis as lymphangioma of the gallbladder wall. The postoperative recovery was uneventful. There was no evidence of recurrence. Searching in literatures, three cases of lymphangioma of gallbladder in adults were found. According to the pathology of lymphangioma and the anatomy of gallbladder, the outcome of this disease should be benign and may be symptomless throughout the life. No death was reported due to lymphangioma of gall bladder, nor severe complications endangering life at any age. The only indication for surgery in the reported cases was to rule out the risk of being malignancy. If MRI or other means can make a definite preoperative diagnosis of lymphangioma, being a stable lesion, surgery would be unnecessary unless there is a progressive organic obstruction causing repeated infection or persistent abdominal pain.

关键词： childhood lymphangioma