オオキ　タケシ   Ooki Takeshi   大木　岳志    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読なし
表題	Multiple intestinal lymphangiomas with episodic hemorrhage requiring partial laparoscopic resection: a case report.
掲載誌名	正式名：Surgical case reports 略　 称：Surg Case Rep ISSNコード：21987793/21987793
掲載区分	国外
巻・号・頁	8(1),pp.56
著者・共著者	KONDO Hiroka, OHKI Takeshi, OGAWA Shimpei, OMORI Teppei, ONIZUKA HiHiromi, Nagashima, Yoji, YAMAGUCHI SHIGEKI
担当区分	2nd著者
発行年月	2022/03
概要	BACKGROUND:Lymphangioma is a non-epithelial tumor marked by aggregates of abnormally dilated lymphatics. Mesenteric occurrences account for < 1% of all cases, and < 0.05% involve the gastrointestinal tract. Most are confined to children, rarely affecting adults.CASE PRESENTATION:Herein, we describe an elderly Japanese woman with anemia, hypoalbuminemia, and episodic bleeding due to multiple intestinal lymphangiomas. Abdominal computed tomography revealed multiple low-density defects of mesentery, with areas of intermediate (T1 images) or high (T2 images) signal intensity similarly dispersed in magnetic resonance scanning sequences. Single-balloon enteroscopy was undertaken, enabling identification and tattooing of a small intestinal bleeding source. Laparoscopy-assisted resection at this site served to control related hemorrhage, removing a histologically confirmed hemolymphangioma. Having recovered uneventfully, the patient remained stable 2 months postoperatively.CONCLUSIONS:Although rare in adults, mesenteric or gastrointestinal lymphangiomas must be considered in a setting of anemia and hypoalbuminemia. Complete resection is advantageous to improve patient symptoms, but limited resection of multiple lesions may be equally effective.
DOI	10.1186/s40792-022-01411-y
PMID	35357631