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Lymphangiomatosis associated with protein losing enteropathy:A case report

World Journal of Clinical Cases 2021年第15期9卷 3758-3764页

作者： Xue-Li Ding Xiao-Yan Yin Ya-Nan Yu Yun-Qing Chen Wei-Wei Fu Hua Liu Department of Gastroenterology The Affiliated Hospital of Qingdao UniversityQingdao 266003Shandong ProvinceChina Department of Pathology The Affiliated Hospital of Qingdao UniversityQingdao 266003Shandong ProvinceChina

BACKGROUND Lymphangiomatosis is a multisystem disorder that is rarely localized to the gastrointestinal *** usually has no specific clinical presentation and is easily misdiagnosed.A case report and review of the literature on lymphangiomatosis associated with protein-losing enteropathy will help to improve the overall understanding of this *** SUMMARY We report a case of lymphangiomatosis of the bowel and other solid organs.A 78-year-old man presented with recurrent bowel bleeding and protein-losing enteropathy,as well as cystic lesions in the spleen,liver,and *** examinations revealed many cystic lesions on the spleen,liver,kidney,and thickened wall of the ascending colon,as well as pleural effusion and *** revealed a strawberry mucosa,variable spontaneous bleeding,and surface erosion located in the terminal *** cystic masses with a translucent and smooth surface as well as diffuse white spots were located in the colon.A laterally spreading tumor(LST)was located in the ascending *** indicated highly differentiated adenocarcinoma(LST)and lymphangiomatoid dilation,and D2-40 was *** final diagnosis was *** patient underwent surgery for LST and then was administered thalidomide 75-150 mg/*** condition,however,did not *** eventually died 6 mo after the initial *** Lymphangiomatosis usually occurs diffusely and can involve many organs,such as the spleen,kidney,liver,lung,mesentery,and *** bowel bleeding or protein-losing enteropathy is an important indicator that should alert clinicians about the possibility of this disease when it afflicts the *** should improve the medical understanding of lymphangiomatosis.

关键词： Lymphangioma Gastrointestinal hemorrhage protein-losing enteropathies Colonic neoplasms Small intestine Case report

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