- The Practicing Endoscopist
- Posts
- Mid-GI bleeding of Obscure Cause due to a Cavernous Lymphangioma
Mid-GI bleeding of Obscure Cause due to a Cavernous Lymphangioma
By Klaus Mönkemüller. MD, PhD, FASGE (USA), FJGES (Japan)
Professor of Internal Medicine. Virginia Tech Carilion Medical School, Roanoke, USA
Honorary Professor, Universidad de La República, Montevideo, Uruguay
Visiting Professor, Faculty of Medicine, University of Belgrade, Serbia
Case presentation:
A 32-year-old patient presented with melena and drop in hemoglobin (9 gr/dl). During double balloon enteroscopy a 3 cm yellowish, polypoid lesion with a depressed center was found in the proximal jejunum.
An India Ink tattoo mark was placed to facilitate its recognition during subsequent operative segmental small bowel resection.
Discussion:
Cavernous lymphangiomas are uncommon benign tumors found intra-abdominally, close to the mesentery or in the small bowel.
Small bowel lymphangiomas can cause gross or occult (obscure) gastrointestinal hemorrhage, anemia, abdominal pain, and/or small bowel obstruction. Endoscopists should be aware of this rare tumor and its ileus due to endoscopic features. Cavernous lymphangiomas may endoscopically mimic neuroendocrine tumors. The ideal treatment is complete resection, as incomplete excision may result in recurrence. There are reports on endoscopic therapy using argon plasma coagulation, injection of sclerosants and endoscopic resection. However, those endoscopic options should be mainly used in small lesions, for palliative purposes or in circumstances when a surgical intervention is not feasible.
Join our community at endocollab.com and choose from our flexible membership plans:
EndoCollab is more than just an online community – it's a hub for professionals and doctors specializing in digestive system diseases. Here, you can learn, discuss complex cases, and share your knowledge with like-minded individuals. Leverage an extensive library of endoscopy images and insightful video courses to stay at the forefront of your field.
But don't just take our word for it. Here's what our members have to say about EndoCollab:
"Amazing platform for all established Gastroenterologists, Endoscopists and trainees, very useful tips and valuable updated information from world experts."
"Excellent and very informative medical site. Excellent reviews and case discussions."
"Fantastic community! Combines the different experiences from east to west without any biases."
"Great learning platform with lots of tips and tricks for young and experienced endoscopists. Great exchange with international colleagues."
"EndoCollab is the best way to stay updated on the latest GI procedures around the globe."
"EndoCollab is the greatest learning opportunity seen in GI endoscopy so far."
Sign up now and you'll join the EndoCollab community immediately.
Join Now:
Reply