Korean J Gastrointest Endosc.  2009 Sep;39(3):172-175.

A Case of Lymphangiomatosis Arising in the Colon

Affiliations
  • 1Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea. cklee92@paran.com
  • 2Department of Pathology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea.

Abstract

Lymphangioma is a benign vascular lesion that shows the characteristics of subepithelial tumor, which can proliferate in the lymphatic system. Only a few cases of multiple lymphangimas of the colon, the so called "colonic lymphanigomatosis", have been currently reported on the medical literature. Because lymphangioma is absolutely a benign tumor, it does not require any specific treatment, except for rare disease-related symptoms or complications such as anemia, intussusception and protein-losing enteropathy. Endoscopic resection for this tumor has sometimes been performed for both diagnostic and therapeutic purposes. We recently experienced a case of multiple colonic lymphangomas that arose in the ascending colon of a 46-year-old male patient and these lesions were found during performance of colonoscopy. The final diagnosis was confirmed by a pathologic examination of the specimen that was obtained via endoscopic resection. Follow-up colonoscopy at 1 year after the initial examination showed complete resolution of the previously noted lesions without any specific treatment. We report here on a very rare case of colonic lymphangiomatosis along with a brief review of the relevant literature.

Keyword

Lymphangioma; Lymphangiomatosis; Large intestine

MeSH Terms

Anemia
Colon
Colon, Ascending
Colonoscopy
Follow-Up Studies
Humans
Intestine, Large
Intussusception
Lymphangioma
Lymphatic System
Male
Middle Aged
Protein-Losing Enteropathies
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