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Clinical manifestation and treatment of small intestinal lymphangioma: A single center analysis of 15 cases
BACKGROUND: Small intestinal lymphangioma is a very rare benign lesion. Thus far, the literature on small intestinal lymphangioma has mainly involved case reports. The present study retrospectively examined the clinical features of patients with a pathological diagnosis of small intestinal lymphangi...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537564/ https://www.ncbi.nlm.nih.gov/pubmed/36213633 http://dx.doi.org/10.3389/fmed.2022.975698 |
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author | Wang, Zhen-zhen Shen, Ling-yan Zhou, Jing-jing Tang, Jia-li Ye, Li-ping Shen, Chen-bo Li, Shao-wei Zhou, Xian-bin |
author_facet | Wang, Zhen-zhen Shen, Ling-yan Zhou, Jing-jing Tang, Jia-li Ye, Li-ping Shen, Chen-bo Li, Shao-wei Zhou, Xian-bin |
author_sort | Wang, Zhen-zhen |
collection | PubMed |
description | BACKGROUND: Small intestinal lymphangioma is a very rare benign lesion. Thus far, the literature on small intestinal lymphangioma has mainly involved case reports. The present study retrospectively examined the clinical features of patients with a pathological diagnosis of small intestinal lymphangioma. MATERIALS AND METHODS: From January 2010 to January 2021, 15 patients were pathologically diagnosed with small intestinal lymphangioma. The age, gender, clinical manifestation, computed tomography (CT) findings, endoscopic findings, localization of the lesion, treatment method, complications, and follow-up were retrospectively analyzed. RESULTS: Most of the patients had no symptoms, and those with symptoms had melena or abdominal pain. Lymphangioma was located in the duodenum in nine cases (60.0%), jejunum in two (13.3%), jejunal-ileal junction with mesentery involvement in one (6.7%) and ileum in three (20.0%). Three cases (20.0%) had multiple lesions, and the other 12 (80.0%) had single lesions. The median size of the lesions was 0.8 cm. Thirteen cases were found by endoscopy, and nine cases of them had white-colored spots on the surface. Ten cases (66.7%) underwent endoscopic treatment, three (20.0%) underwent surgical treatment, and two (13.3%) were followed up. Postoperative acute pancreatitis developed in one patient after endoscopic resection of duodenal papillary lymphangioma; postoperative abdominal bleeding occurred in one patient with jejunal lymphangioma who underwent partial small bowel resection. CONCLUSION: Small intestinal lymphangioma is extremely rare, and its clinical manifestations are non-specific. Endoscopy is of great value in the diagnosis of small intestinal lymphangioma. Depending on the clinical manifestations, the size, location and scope of the lesions, follow-up, endoscopic treatment and surgery can be selected. |
format | Online Article Text |
id | pubmed-9537564 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95375642022-10-08 Clinical manifestation and treatment of small intestinal lymphangioma: A single center analysis of 15 cases Wang, Zhen-zhen Shen, Ling-yan Zhou, Jing-jing Tang, Jia-li Ye, Li-ping Shen, Chen-bo Li, Shao-wei Zhou, Xian-bin Front Med (Lausanne) Medicine BACKGROUND: Small intestinal lymphangioma is a very rare benign lesion. Thus far, the literature on small intestinal lymphangioma has mainly involved case reports. The present study retrospectively examined the clinical features of patients with a pathological diagnosis of small intestinal lymphangioma. MATERIALS AND METHODS: From January 2010 to January 2021, 15 patients were pathologically diagnosed with small intestinal lymphangioma. The age, gender, clinical manifestation, computed tomography (CT) findings, endoscopic findings, localization of the lesion, treatment method, complications, and follow-up were retrospectively analyzed. RESULTS: Most of the patients had no symptoms, and those with symptoms had melena or abdominal pain. Lymphangioma was located in the duodenum in nine cases (60.0%), jejunum in two (13.3%), jejunal-ileal junction with mesentery involvement in one (6.7%) and ileum in three (20.0%). Three cases (20.0%) had multiple lesions, and the other 12 (80.0%) had single lesions. The median size of the lesions was 0.8 cm. Thirteen cases were found by endoscopy, and nine cases of them had white-colored spots on the surface. Ten cases (66.7%) underwent endoscopic treatment, three (20.0%) underwent surgical treatment, and two (13.3%) were followed up. Postoperative acute pancreatitis developed in one patient after endoscopic resection of duodenal papillary lymphangioma; postoperative abdominal bleeding occurred in one patient with jejunal lymphangioma who underwent partial small bowel resection. CONCLUSION: Small intestinal lymphangioma is extremely rare, and its clinical manifestations are non-specific. Endoscopy is of great value in the diagnosis of small intestinal lymphangioma. Depending on the clinical manifestations, the size, location and scope of the lesions, follow-up, endoscopic treatment and surgery can be selected. Frontiers Media S.A. 2022-09-23 /pmc/articles/PMC9537564/ /pubmed/36213633 http://dx.doi.org/10.3389/fmed.2022.975698 Text en Copyright © 2022 Wang, Shen, Zhou, Tang, Ye, Shen, Li and Zhou. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Medicine Wang, Zhen-zhen Shen, Ling-yan Zhou, Jing-jing Tang, Jia-li Ye, Li-ping Shen, Chen-bo Li, Shao-wei Zhou, Xian-bin Clinical manifestation and treatment of small intestinal lymphangioma: A single center analysis of 15 cases |
title | Clinical manifestation and treatment of small intestinal lymphangioma: A single center analysis of 15 cases |
title_full | Clinical manifestation and treatment of small intestinal lymphangioma: A single center analysis of 15 cases |
title_fullStr | Clinical manifestation and treatment of small intestinal lymphangioma: A single center analysis of 15 cases |
title_full_unstemmed | Clinical manifestation and treatment of small intestinal lymphangioma: A single center analysis of 15 cases |
title_short | Clinical manifestation and treatment of small intestinal lymphangioma: A single center analysis of 15 cases |
title_sort | clinical manifestation and treatment of small intestinal lymphangioma: a single center analysis of 15 cases |
topic | Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537564/ https://www.ncbi.nlm.nih.gov/pubmed/36213633 http://dx.doi.org/10.3389/fmed.2022.975698 |
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