Cystic lymphangiomas of the cecal cause intussusception in adults

Submitted: 2 July 2024
Accepted: 4 September 2024
Published: 10 September 2024
Abstract Views: 97
PDF: 46
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Lymphangiomas are rare benign lymphatic malformations. Even though these neoplasms can arise from any location and age, most of them are dominant in the head and neck of children. On the other hand, lymphangiomas are exceedingly rare in adults, especially in the gastrointestinal tract. Gastrointestinal tract lymphangiomas account for only about 1% of lymphatic malformations. Although there have been increasing cases of gastrointestinal lymphangiomas reported in recent years, cecal lymphangiomas causing intussusception in adults are rarely mentioned. In this article, we report a 27-year-old female patient with cecal lymphangiomas detected by imaging modalities and confirmed via postoperative histopathological examination.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Samal SN, Samal SS. Congenital arteriovenous malformation (ISSVA classification for vascular anomalies). Pan Afr Med J. 2023;46:103. DOI: https://doi.org/10.11604/pamj.2023.46.103.41202
Lepre L, Costa G, Baldini D, et al. Emergency presentation of cystic lymphangioma of the colon: A case report and literature review. International Journal of Surgery Case Reports. 2016;24:162-5. DOI: https://doi.org/10.1016/j.ijscr.2016.05.045
Huguet KL, Metzger PP, Menke DM. Colorectal lymphangioma. The American Surgeon. 2007;73:414-6. DOI: https://doi.org/10.1177/000313480707300423
Bonhomme A, Broeders A, Oyen RH, et al. Cystic lymphangioma of the retroperitoneum. Clinical Radiology. 2001;56:156-8. DOI: https://doi.org/10.1053/crad.2000.0162
Samuelson H, Giannotti G, Guralnick A. Jejunal lymphangioma causing intussusception in an adult: An unusual case with review of the literature. Annals of Medicine and Surgery. 2018;34:39-42. DOI: https://doi.org/10.1016/j.amsu.2018.08.020
Makni A, Chebbi F, Fetirich F, et al. Surgical management of intra‐abdominal cystic lymphangioma. Report of 20 cases. World J Surg. 2012;36:1037-43. DOI: https://doi.org/10.1007/s00268-012-1515-2
Matsuda T, Matsutani T, Tsuchiya Y, et al. A clinical evaluation of lymphangioma of the large intestine a case presentation of lymphangioma of the descending colon and a review of 279 Japanese cases. J Nippon Med Sch. 2001;68:262-5. DOI: https://doi.org/10.1272/jnms.68.262
Owens FC, Franco-Jove D, Goldman ML, Gonzalez AC. Retroperitoneal lymphangioma: ultrasonic findings. South Med J. 1978;71:971-4. DOI: https://doi.org/10.1097/00007611-197808000-00031
Rai P, Rao RN, Chakraborthy SBD. Caecal lymphangioma: a rare cause of gastrointestinal blood loss. Case Reports. 2013;2013:bcr2013008866-bcr2013008866. DOI: https://doi.org/10.1136/bcr-2013-008866
Kim J, Han D, Hong CH, et al. Colonic lymphangiomatosis associated with protein-losing enteropathy. Dig Dis Sci. 2005;50:1747-53. DOI: https://doi.org/10.1007/s10620-005-2929-6
Majewski M, Lorenc Z, Krawczyk W. Multiannual abdominal pain complicated by obstruction of the gastrointestinal tract in the course of cystic form of mesenteric lymhangioma of the small intestine. Polish Journal of Surgery. 2015;87. DOI: https://doi.org/10.1515/pjs-2015-0042
Watanabe A, Suzuki H, Kubo N, et al. A case of mesenteric cystic lymphangioma in an adult which caused duodenal stenosis after resection. International Journal of Surgery Case Reports. 2013;4:212-5. DOI: https://doi.org/10.1016/j.ijscr.2012.10.023
Lin RY. Abdominal lymphangiomatosis in a 38-year-old female: case report and literature review. WJG. 2014;20:8320. DOI: https://doi.org/10.3748/wjg.v20.i25.8320
De Perrot M, Rostan O, Morel P, Le Coultre C. Abdominal lymphangioma in adults and children. British Journal of Surgery. 2003;85:395-7. DOI: https://doi.org/10.1046/j.1365-2168.1998.00628.x
Allen JG, Riall TS, Cameron JL, et al. Abdominal lymphangiomas in adults. Journal of Gastrointestinal Surgery. 2006;10:746-51. DOI: https://doi.org/10.1016/j.gassur.2005.10.015
Kurtz RJ, Heimann TM, Beck AR, Holt J. Mesenteric and retroperitoneal cysts. Annals of Surgery. 1986;203:109-12. DOI: https://doi.org/10.1097/00000658-198601000-00017
Saviano MS, Fundaro S, Gelmini R, et al. Mesenteric cystic neoformations: report of two cases. Surg Today. 1999;29:174-7. DOI: https://doi.org/10.1007/BF02482245
Stout AP. Tumors of the colon and rectum: (excluding carcinoma and adenoma). Surgical Clinics of North America. 1955;35:1283-8. DOI: https://doi.org/10.1016/S0039-6109(16)34690-4
Pham HD, Nguyen TA, Doan TG, et al. Lymphangioma of colon presenting as an intramural tumor. IMCRJ. 2022;15:361-6. DOI: https://doi.org/10.2147/IMCRJ.S368610
Cutillo DP, Swayne LC, Cucco J, Dougan H. CT and MR Imaging in cystic abdominal lymphangiomatosis. Journal of Computer Assisted Tomography. 1989;13:534-6. DOI: https://doi.org/10.1097/00004728-198905000-00038
Munechika H, Honda M, Kushihashi T, et al. Computed tomography of retroperitoneal cystic lymphangiomas. Journal of Computer Assisted Tomography. 1987;11:116-9. DOI: https://doi.org/10.1097/00004728-198701000-00023
Van Cauwelaert P, Gruwez JA. Experience with lymphangioma. Lymphology. 1978;11:43-8.
Grasso DL, Pelizzo G, Zocconi E, Schleef J. Lymphangiomas of the head and neck in children. Acta Otorhinolaryngol Ital. 2008;28:17-20.
Lu G, Li H, Li Y. Lymphangiomatosis of the sigmoid colon - a rare cause of lower gastrointestinal bleeding: a case report and review of the literature. Oncology Letters. 2017;13:339-41. DOI: https://doi.org/10.3892/ol.2016.5399
Ding XL, Yin XY, Yu YN, et al. Lymphangiomatosis associated with protein losing enteropathy: a case report. World J Clin Cases. 2021;9:3758-64. DOI: https://doi.org/10.12998/wjcc.v9.i15.3758
Francavilla ML, White CL, Oliveri B, et al. Intraabdominal lymphatic malformations: pearls and pitfalls of diagnosis and differential diagnoses in pediatric patients. American Journal of Roentgenology. 2017;208:637-49. DOI: https://doi.org/10.2214/AJR.16.17008
Stephens D, Sheedy P, Hattery R, Williamson B. Diagnosis and evaluation of retroperitoneal tumors by computed tomography. American Journal of Roentgenology. 1977;129:395-402. DOI: https://doi.org/10.2214/ajr.129.3.395
Sarno RC, Carter BL, Bankoff MS. Cystic lymphangiomas: CT diagnosis and thin needle aspiration. Br J Radiol. 1984;57:424-6. DOI: https://doi.org/10.1259/0007-1285-57-677-424
Romeo V, Maurea S, Mainenti PP, et al. Correlative imaging of cystic lymphangiomas: ultrasound, CT and MRI comparison. Acta Radiologica Open. 2015;4:204798161456491. DOI: https://doi.org/10.1177/2047981614564911
Zhuo CH, Shi DB, Ying MG, et al. Laparoscopic segmental colectomy for colonic lymphangiomas: a definitive, minimally invasive surgical option. World J Gastroenterol. 2014;20:8745-50. DOI: https://doi.org/10.3748/wjg.v20.i26.8745
Nabeshima K, Machimura T, Wasada M, et al. A case of colon lymphangioma treated with laparoscopy-assisted ileocecal resection. Tokai J Exp Clin Med. 2008;33:61-4.
Katsuno H, Maeda K, Hanai T, et al. Gigantic lymphangioma with marked extraluminal progression of the ascending colon: report of a case. Surg Today. 2015;45:919-23. DOI: https://doi.org/10.1007/s00595-014-1055-5
Bhutani MS, Annangi S, Koduru P, et al. Diagnosis of cystic lymphangioma of the colon by endoscopic ultrasound: biopsy is not needed! Endosc Ultrasound. 2016;5:335-8. DOI: https://doi.org/10.4103/2303-9027.191668
Pickhardt PJ, Kim DH, Menias CO, et al. Evaluation of submucosal lesions of the large intestine: part 2. Non-neoplastic causes. RadioGraphics. 2007;27:1693-703. DOI: https://doi.org/10.1148/rg.276075028
Barr LL, Hayden CK, Stansberry SD, Swischuk LE. Enteric duplication cysts in children: are their ultrasonographic wall characteristics diagnostic? Pediatr Radiol. 1990;20:326-8. DOI: https://doi.org/10.1007/BF02013165
Vilallonga R, Espin Basany E, Armengol M. Cavernous hemangioma: unusual benign tumor of the transverse colon. Turk J Gastroenterol. 2009;20:146-9.
Levy AD, Cantisani V, Miettinen M. Abdominal lymphangiomas: imaging features with pathologic correlation. American Journal of Roentgenology. 2004;182:1485-91. DOI: https://doi.org/10.2214/ajr.182.6.1821485
Tsukada H, Takaori K, Ishiguro S, et al. Giant cystic lymphangioma of the small bowel mesentery: report of a case. Surgery Today. 2002;32:734-7. DOI: https://doi.org/10.1007/s005950200138

How to Cite

Kha, V.-V., Mai Anh, H., Thuy Duong, Q., Quang Duy, N., Hai Anh, N. T., Duy Hung, N., & Minh Duc, N. (2024). Cystic lymphangiomas of the cecal cause intussusception in adults. Veins and Lymphatics, 13. https://doi.org/10.4081/vl.2024.12771