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Jejunal hemolymphangioma: A case report
Yajie Teng1, Jie Wang, Qinhua Xi
1Department of Gastroenterology, The First Affiliated Hospital Of Soochow University, Soochow, Jiangsu, China.
Medicine
|January 25, 2020
Summary
This case report details a rare small intestinal hemolymphangioma diagnosed using CT and double-balloon enteroscopy (DBE). Early detection via advanced imaging aids surgical planning for this benign vascular tumor.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Hemolymphangioma, a benign tumor of lymph and blood vessels, typically affects the head and neck in children.
- Intestinal hemolymphangioma is exceptionally rare, with limited case reports in existing literature.
Observation:
- A 55-year-old woman presented with right upper abdominal discomfort, revealing a jejunal mass on CT.
- Double-balloon enteroscopy (DBE) precisely localized the lesion to the proximal jejunum, 60 cm from the Treitz ligament.
Findings:
- Surgical resection confirmed a small intestinal hemolymphangioma.
- Postoperative pathology revealed a lesion measuring 33 cm x 22 cm when engorged, with no mesenteric lymph node involvement.
Implications:
- Hemolymphangioma diagnosis is challenging due to nonspecific symptoms.
- CT and DBE are crucial for accurate preoperative diagnosis and surgical strategy in gastrointestinal hemolymphangioma.
- Endoscopic techniques improve the feasibility of detecting and localizing gastrointestinal hemolymphangioma before surgery.
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