Jejunal lymphangioma

Area of Science:

• Gastroenterology
• Pathology
• Surgical Oncology

Background:

• Intestinal lymphangioma is a rare benign tumor originating from the lymphatic system.
• It can present with various symptoms depending on the location and size.
• Accurate diagnosis is crucial for appropriate management.

Observation:

• A patient presented with non-enhancing cystic masses in the jejunum identified via CT scan.
• Enteroscopy revealed multiple cystic swellings with characteristic whitish, carpet-like villi.
• Histopathological examination confirmed dilated lymphatic channels lined by endothelial cells.

Findings:

• Immunohistochemical staining was positive for lymphatic endothelial markers, confirming the diagnosis.
• The findings are consistent with a primary jejunal lymphangioma.
• This highlights the utility of combined imaging and endoscopic evaluation.

Implications:

• This case contributes to the understanding of jejunal lymphangioma presentation and diagnosis.
• Early and accurate diagnosis can guide surgical or conservative management strategies.
• Further research into the pathogenesis and optimal treatment of intestinal lymphangiomas is warranted.