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Unusual cause of 55 years of rectal bleeding: hemolymphangioma (a case report)

RATIONALE: Hemolymphangioma is a rare developmental error of combined blood and lymphatic vasculature. To the best of our knowledge, there is only one case of rectal hemolymphangioma reported in Pubmed. Our case probably is the first reported rectal hemolymphangioma with computed tomography (CT) eva...

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Autores principales: Pandey, Sagar, Fan, Miao, Zhu, Junfeng, Lu, Xiaofang, Chang, Dandan, Li, Xiuhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5348183/
https://www.ncbi.nlm.nih.gov/pubmed/28272235
http://dx.doi.org/10.1097/MD.0000000000006264
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author Pandey, Sagar
Fan, Miao
Zhu, Junfeng
Lu, Xiaofang
Chang, Dandan
Li, Xiuhong
author_facet Pandey, Sagar
Fan, Miao
Zhu, Junfeng
Lu, Xiaofang
Chang, Dandan
Li, Xiuhong
author_sort Pandey, Sagar
collection PubMed
description RATIONALE: Hemolymphangioma is a rare developmental error of combined blood and lymphatic vasculature. To the best of our knowledge, there is only one case of rectal hemolymphangioma reported in Pubmed. Our case probably is the first reported rectal hemolymphangioma with computed tomography (CT) evaluation. PATIENT CONCERNS AND DIAGNOSIS: A 57-year-old male was presented to our hospital with 55 years of long history of episodic rectal bleeding. Past medical history showed numerous hospital visits for similar illness. Multiple diagnoses were made and different treatment modalities were applied for his benefit, but none of them relieved the symptoms permanently. He was then referred to our hospital. On admission, he was presented with intermediate rectal bleeding of fresh blood. CT examination showed isodense homogenous rectal wall thickening with heterogeneous enhancement on contrast examination. Multiple calcifications were seen in and around the lesion. INTERVENTIONS AND OUTCOMES: He underwent open abdominal surgery with total surgical excision of the lesion. Post-surgical histopathological examination of excised specimen showed submucosal multiple thin-walled vessel of varying size, some consistent with blood vessel and other with lymph vessel, thus diagnosis of hemolymphangioma was made. Follow-up for 6 months showed no recurrence. LESSIONS: Hemolymphangioma is a benign developmental lesion. Radiological findings can be challenging and range from benign cystic lesion to aggressive lesion mimicking malignancy. Therefore, combined clinical history, radiological findings, and continuous follow-up can help make proper diagnosis and provide prompt and accurate treatment.
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spelling pubmed-53481832017-03-22 Unusual cause of 55 years of rectal bleeding: hemolymphangioma (a case report) Pandey, Sagar Fan, Miao Zhu, Junfeng Lu, Xiaofang Chang, Dandan Li, Xiuhong Medicine (Baltimore) 6800 RATIONALE: Hemolymphangioma is a rare developmental error of combined blood and lymphatic vasculature. To the best of our knowledge, there is only one case of rectal hemolymphangioma reported in Pubmed. Our case probably is the first reported rectal hemolymphangioma with computed tomography (CT) evaluation. PATIENT CONCERNS AND DIAGNOSIS: A 57-year-old male was presented to our hospital with 55 years of long history of episodic rectal bleeding. Past medical history showed numerous hospital visits for similar illness. Multiple diagnoses were made and different treatment modalities were applied for his benefit, but none of them relieved the symptoms permanently. He was then referred to our hospital. On admission, he was presented with intermediate rectal bleeding of fresh blood. CT examination showed isodense homogenous rectal wall thickening with heterogeneous enhancement on contrast examination. Multiple calcifications were seen in and around the lesion. INTERVENTIONS AND OUTCOMES: He underwent open abdominal surgery with total surgical excision of the lesion. Post-surgical histopathological examination of excised specimen showed submucosal multiple thin-walled vessel of varying size, some consistent with blood vessel and other with lymph vessel, thus diagnosis of hemolymphangioma was made. Follow-up for 6 months showed no recurrence. LESSIONS: Hemolymphangioma is a benign developmental lesion. Radiological findings can be challenging and range from benign cystic lesion to aggressive lesion mimicking malignancy. Therefore, combined clinical history, radiological findings, and continuous follow-up can help make proper diagnosis and provide prompt and accurate treatment. Wolters Kluwer Health 2017-03-10 /pmc/articles/PMC5348183/ /pubmed/28272235 http://dx.doi.org/10.1097/MD.0000000000006264 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle 6800
Pandey, Sagar
Fan, Miao
Zhu, Junfeng
Lu, Xiaofang
Chang, Dandan
Li, Xiuhong
Unusual cause of 55 years of rectal bleeding: hemolymphangioma (a case report)
title Unusual cause of 55 years of rectal bleeding: hemolymphangioma (a case report)
title_full Unusual cause of 55 years of rectal bleeding: hemolymphangioma (a case report)
title_fullStr Unusual cause of 55 years of rectal bleeding: hemolymphangioma (a case report)
title_full_unstemmed Unusual cause of 55 years of rectal bleeding: hemolymphangioma (a case report)
title_short Unusual cause of 55 years of rectal bleeding: hemolymphangioma (a case report)
title_sort unusual cause of 55 years of rectal bleeding: hemolymphangioma (a case report)
topic 6800
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5348183/
https://www.ncbi.nlm.nih.gov/pubmed/28272235
http://dx.doi.org/10.1097/MD.0000000000006264
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