Advertisement

A case of multiple lymphangiomas of the colon suggesting colonic lymphangiomatosis

      Most lymphangiomas are considered to be lymph vessel anomalies. The incidence in the GI tract is low, particularly in the colon or rectum. However, as endoscopic examination has become more wide-spread, GI lymphangiomas have increasingly been reported. Most are solitary, there being only two cases of multiple lymphangiomas. We encountered a patient in whom multiple filling defects were noted on barium-enema. The findings by EUS raised a suspicion of multiple colonic lymphangiomas. EUS was followed by endoscopic polypectomy, and the presence of multiple lymphangiomas was confirmed histologically.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Gastrointestinal Endoscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Chisholm AJ
        • Hillkowitz P.
        Lymphangioma of the rectum.
        Am J Surg. 1932; 17: 281-282
        • Young TH
        • Ho AS
        • Tang HS
        • Hsu CT
        • Lee HS
        • Chao YC.
        Cystic lymphangioma of the transverse colon: report of a case and review of the literature.
        Abdom Imaging. 1996; 21: 415-417
        • Yoshitoshi Y
        • Oda T
        • Utsumi Y
        • Kaneko E
        • Yamashita K
        • Nakamura K.
        A case of lymphangioma of the ascending colon.
        Nihon Rinsho. 1965; 186 ([in Japanese]): 2264-2268
        • Ameike H
        • Akioka K
        • Fujino H
        • Tanimukai S
        • Ameno H
        • Ann T
        • et al.
        A case of multiple lymphangioma of the colon.
        Jpn J Surg. 1990; 23 ([in Japanese with English abstract]): 1947-1951
        • Messer J
        • Waye JD.
        The diagnosis of colonic lipoma—the naked flat sign.
        Gastrointest Endosc. 1982; 28: 186-188
        • Shimizu S
        • Tada M
        • Kawai K.
        Use of endoscopic ultrasonography for the diagnosis of colorectal tumors.
        Endosc. 1990; 22: 31-34
        • Kawamoto K
        • Ueyama T
        • Iwashita I
        • Utsunomiya T
        • Honda H
        • Onitsuka H
        • et al.
        Colonic submucosal tumors: comparison of endoscopic US and target air enema CT with barium enema study and colonoscopy.
        Radiology. 1994; 192: 697-702
        • Fujimura Y
        • Nishishita C
        • Iida M
        • Kajihara Y.
        Lymphangioma of the colon diagnosed with an endoscopic ultrasound probe and dynamic CT.
        Gastrointest Endosc. 1995; 41: 252-254
        • Kochman ML
        • Wiersema MJ
        • Hawes RH
        • Canal D
        • Wiersema L.
        Preoperative diagnosis of cystic lymphangioma of the colon by endoscopic ultrasound.
        Gastrointest Endosc. 1997; 45: 204-206
        • Wegner G.
        Lymphangiome.
        Arch Klin Chirurg. 1877; 20: 641-707
        • Enzinger FM
        • Weiss SW.
        Tumor of lymph vessels.
        in: Soft tissue tumors. : Mosby, St. Louis1988: 614-637
        • Matsui A
        • Okajima K
        • Ishii M
        • Namio H
        • Kawanishi M
        • Fujii Y
        • et al.
        Lymphangioma of the cecum with intussusception: a case report and review of literature.
        J Jpn Soc Clin Surg. 1986; 47 ([in Japanese with English abstract]): 234-239
        • Inoue S
        • Yoshimi F
        • Asato Y
        • Tonouchi H
        • Ueda E
        • Koizumi S.
        Two cases of lymphangioma of the colon.
        J Jpn Soc Clin Surg. 1997; 58 ([in Japanese with English abstract]): 2084-2088
        • Poulos JE
        • Presti ME
        • Phillips N
        • Longo WE.
        Presentation and management of Lymphatic cyst of the colon. Report of a case.
        Dis Colon Rectum. 1997; 40: 366-369
      1. 2nd ed. Tumors of the liver and intrahepatic bile ducts. Atlas of tumor pathology. .: Armed Forces Institute of Pathology, Washington, D.C1989: 82-83