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ヤマグチ シゲキ
YAMAGUCHI SHIGEKI
山口 茂樹 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| Article types | Case report |
| Language | English |
| Peer review | Non peer reviewed |
| Title | Multiple intestinal lymphangiomas with episodic hemorrhage requiring partial laparoscopic resection: a case report. |
| Journal | Formal name：Surgical case reports Abbreviation：Surg Case Rep ISSN code：21987793/21987793 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 8(1),pp.56 |
| Author and coauthor | KONDO Hiroka, OHKI Takeshi, OGAWA Shimpei, OMORI Teppei, ONIZUKA HiHiromi, Nagashima, Yoji, YAMAGUCHI SHIGEKI |
| Authorship | Last author |
| Publication date | 2022/03 |
| Summary | 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 |