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Large, vascular cecal mass.
Navreet Malhi-Chowla1, Herbert C Wolfsen, Timothy A Woodward
1Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL 32224, USA.
Southern Medical Journal
|February 16, 2002
Summary
A rare colonic lymphangioma presented as a vascular mass in a 74-year-old woman. Surgical resection confirmed the diagnosis, highlighting the need for awareness of these benign tumors.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Vascular Malformations
Background:
- Colonic lymphangiomas are rare, benign vascular malformations.
- Diagnosis can be challenging due to nonspecific symptoms and varied appearance.
- Literature review on diagnosis and management is essential for rare cases.
Observation:
- A 74-year-old woman with a history of malignancies presented with weight loss.
- Colonoscopy revealed a 4x3 cm, vascular-appearing, blue-tinged, soft mass in the cecum.
- Endoscopic ultrasonography identified it as a fluid-filled submucosal lesion.
Findings:
- Exploratory laparotomy and right hemicolectomy were performed due to suspected neoplasm.
- Histopathologic examination confirmed the diagnosis of lymphangioma.
- This case represents a distinctive presentation of a colonic lymphangioma.
Implications:
- Highlights the importance of considering lymphangioma in the differential diagnosis of colonic masses.
- Emphasizes the role of imaging and histopathology in accurate diagnosis.
- Surgical resection is often curative for symptomatic colonic lymphangiomas.