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Colonic lymphangiomatosis resolved after excisional biopsy.

Lee YS, Kim GW, Cho HJ, Shim CS - Clin Endosc (2015)

Bottom Line: Multiple colonic lymphangioma, or colonic lymphangiomatosis, is an extremely rare condition.We report a case of colonic lymphangiomatosis that was detected during a colonoscopic examination conducted as part of a general health check-up.The lesion completely resolved after excisional biopsy.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Sahmyook Medical Center, Seoul, Korea.

ABSTRACT
Lymphangioma is an uncommon malformation of the lymphatic system that involves a benign proliferation of the lymphatics, with no established treatment method. Multiple colonic lymphangioma, or colonic lymphangiomatosis, is an extremely rare condition. We report a case of colonic lymphangiomatosis that was detected during a colonoscopic examination conducted as part of a general health check-up. The lesion completely resolved after excisional biopsy.

No MeSH data available.


Related in: MedlinePlus

Colonoscopy revealing a cluster of multiple cystic masses of various sizes and shapes with the same color and surface as the surrounding normal mucosa.
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Figure 1: Colonoscopy revealing a cluster of multiple cystic masses of various sizes and shapes with the same color and surface as the surrounding normal mucosa.

Mentions: A 38-year-old man visited our comprehensive medical center for a general check-up. He had no previous medical problems other than diabetes mellitus and essential hypertension, which were diagnosed 1 year prior at another hospital. He was 176 cm tall and weighed 104 kg. Laboratory test results, including the levels of tumor markers carcinoembryonic antigen and carbohydrate antigen, were all within normal ranges, except the levels of triglycerides at 206 mg/dL (normal, 10 to 180) and hemoglobin A1c at 9.3% (normal, 4.0 to 6.0). Electrocardiography and chest and abdominal radiography did not reveal any abnormal findings. Esophagogastroduodenoscopy showed hyperemic mucosal change in the antrum and body of the stomach, with multiple shallow erosions in the se-cond portion of the duodenum. An initial colonoscopy revealed multiple, variably sized cystic mass lesions in the mid-portion of the ascending colon up to the proximal portion of the transverse colon (Fig. 1). Two biopsy specimens were taken from those tumors. Abdominal ultrasonography and computed tomography (CT) revealed no abnormalities other than a fatty liver (Fig. 2). Histopathological examination showed chronic inflammation, with no prominent cystic change.


Colonic lymphangiomatosis resolved after excisional biopsy.

Lee YS, Kim GW, Cho HJ, Shim CS - Clin Endosc (2015)

Colonoscopy revealing a cluster of multiple cystic masses of various sizes and shapes with the same color and surface as the surrounding normal mucosa.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4323441&req=5

Figure 1: Colonoscopy revealing a cluster of multiple cystic masses of various sizes and shapes with the same color and surface as the surrounding normal mucosa.
Mentions: A 38-year-old man visited our comprehensive medical center for a general check-up. He had no previous medical problems other than diabetes mellitus and essential hypertension, which were diagnosed 1 year prior at another hospital. He was 176 cm tall and weighed 104 kg. Laboratory test results, including the levels of tumor markers carcinoembryonic antigen and carbohydrate antigen, were all within normal ranges, except the levels of triglycerides at 206 mg/dL (normal, 10 to 180) and hemoglobin A1c at 9.3% (normal, 4.0 to 6.0). Electrocardiography and chest and abdominal radiography did not reveal any abnormal findings. Esophagogastroduodenoscopy showed hyperemic mucosal change in the antrum and body of the stomach, with multiple shallow erosions in the se-cond portion of the duodenum. An initial colonoscopy revealed multiple, variably sized cystic mass lesions in the mid-portion of the ascending colon up to the proximal portion of the transverse colon (Fig. 1). Two biopsy specimens were taken from those tumors. Abdominal ultrasonography and computed tomography (CT) revealed no abnormalities other than a fatty liver (Fig. 2). Histopathological examination showed chronic inflammation, with no prominent cystic change.

Bottom Line: Multiple colonic lymphangioma, or colonic lymphangiomatosis, is an extremely rare condition.We report a case of colonic lymphangiomatosis that was detected during a colonoscopic examination conducted as part of a general health check-up.The lesion completely resolved after excisional biopsy.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Sahmyook Medical Center, Seoul, Korea.

ABSTRACT
Lymphangioma is an uncommon malformation of the lymphatic system that involves a benign proliferation of the lymphatics, with no established treatment method. Multiple colonic lymphangioma, or colonic lymphangiomatosis, is an extremely rare condition. We report a case of colonic lymphangiomatosis that was detected during a colonoscopic examination conducted as part of a general health check-up. The lesion completely resolved after excisional biopsy.

No MeSH data available.


Related in: MedlinePlus