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Small intestinal hemolymphangioma treated with enteroscopic injection sclerotherapy: A case report and review of literature

BACKGROUND: Hemolymphangiomas are rare malformations composed of both lymphatic and vascular vessels and are located in the pancreas, spleen, mediastinum, etc. Small intestinal hemolymphangioma is extremely rare and often presents as obscure gastrointestinal bleeding. It is rarely diagnosed correctl...

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Autores principales: Xiao, Nian-Jun, Ning, Shou-Bin, Li, Teng, Li, Bai-Rong, Sun, Tao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152520/
https://www.ncbi.nlm.nih.gov/pubmed/32308353
http://dx.doi.org/10.3748/wjg.v26.i13.1540
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author Xiao, Nian-Jun
Ning, Shou-Bin
Li, Teng
Li, Bai-Rong
Sun, Tao
author_facet Xiao, Nian-Jun
Ning, Shou-Bin
Li, Teng
Li, Bai-Rong
Sun, Tao
author_sort Xiao, Nian-Jun
collection PubMed
description BACKGROUND: Hemolymphangiomas are rare malformations composed of both lymphatic and vascular vessels and are located in the pancreas, spleen, mediastinum, etc. Small intestinal hemolymphangioma is extremely rare and often presents as obscure gastrointestinal bleeding. It is rarely diagnosed correctly before the operation. Endoscopic injection sclerotherapy is usually used as a management of bleeding in esophageal varices and was occasionally reported as a treatment of vascular malformation. The treatment of small intestinal hemolymphangioma with enteroscopic injection sclerotherapy has not been reported. CASE SUMMARY: A 42-year-old male complained of recurrent episodes of melena and dizziness, fatigue and reduced exercise capacity for more than 2 mo. Gastroduodenoscopy and blood test revealed a gastric ulcer and anemia. Treatment with oral proton-pump inhibitors and iron did not improve symptoms. We then performed a capsule endoscopy and anterograde balloon-assisted enteroscopy and revealed a hemolymphangioma. Considering it is a benign tumor without malignant potential, we performed enteroscopic injection sclerotherapy. He was discharged 4 days later. At follow-up 3 mo later, the melena disappeared. Balloon-assisted enteroscopy revealed an atrophied tumor atrophied and no bleeding. Argon plasma coagulation was applied to the surface of the hemolymphangioma to accelerated healing. When he returned for follow-up 1 year later, anemia was resolved and the tumor had been cured. CONCLUSION: Balloon-assisted enteroscopy and capsule endoscopy are effective methods for diagnosis of hemolymphangioma. Enteroscopic injection sclerotherapy is an effective treatment.
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spelling pubmed-71525202020-04-19 Small intestinal hemolymphangioma treated with enteroscopic injection sclerotherapy: A case report and review of literature Xiao, Nian-Jun Ning, Shou-Bin Li, Teng Li, Bai-Rong Sun, Tao World J Gastroenterol Case Report BACKGROUND: Hemolymphangiomas are rare malformations composed of both lymphatic and vascular vessels and are located in the pancreas, spleen, mediastinum, etc. Small intestinal hemolymphangioma is extremely rare and often presents as obscure gastrointestinal bleeding. It is rarely diagnosed correctly before the operation. Endoscopic injection sclerotherapy is usually used as a management of bleeding in esophageal varices and was occasionally reported as a treatment of vascular malformation. The treatment of small intestinal hemolymphangioma with enteroscopic injection sclerotherapy has not been reported. CASE SUMMARY: A 42-year-old male complained of recurrent episodes of melena and dizziness, fatigue and reduced exercise capacity for more than 2 mo. Gastroduodenoscopy and blood test revealed a gastric ulcer and anemia. Treatment with oral proton-pump inhibitors and iron did not improve symptoms. We then performed a capsule endoscopy and anterograde balloon-assisted enteroscopy and revealed a hemolymphangioma. Considering it is a benign tumor without malignant potential, we performed enteroscopic injection sclerotherapy. He was discharged 4 days later. At follow-up 3 mo later, the melena disappeared. Balloon-assisted enteroscopy revealed an atrophied tumor atrophied and no bleeding. Argon plasma coagulation was applied to the surface of the hemolymphangioma to accelerated healing. When he returned for follow-up 1 year later, anemia was resolved and the tumor had been cured. CONCLUSION: Balloon-assisted enteroscopy and capsule endoscopy are effective methods for diagnosis of hemolymphangioma. Enteroscopic injection sclerotherapy is an effective treatment. Baishideng Publishing Group Inc 2020-04-07 2020-04-07 /pmc/articles/PMC7152520/ /pubmed/32308353 http://dx.doi.org/10.3748/wjg.v26.i13.1540 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Xiao, Nian-Jun
Ning, Shou-Bin
Li, Teng
Li, Bai-Rong
Sun, Tao
Small intestinal hemolymphangioma treated with enteroscopic injection sclerotherapy: A case report and review of literature
title Small intestinal hemolymphangioma treated with enteroscopic injection sclerotherapy: A case report and review of literature
title_full Small intestinal hemolymphangioma treated with enteroscopic injection sclerotherapy: A case report and review of literature
title_fullStr Small intestinal hemolymphangioma treated with enteroscopic injection sclerotherapy: A case report and review of literature
title_full_unstemmed Small intestinal hemolymphangioma treated with enteroscopic injection sclerotherapy: A case report and review of literature
title_short Small intestinal hemolymphangioma treated with enteroscopic injection sclerotherapy: A case report and review of literature
title_sort small intestinal hemolymphangioma treated with enteroscopic injection sclerotherapy: a case report and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152520/
https://www.ncbi.nlm.nih.gov/pubmed/32308353
http://dx.doi.org/10.3748/wjg.v26.i13.1540
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