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An Incidental Finding of a Cecal Lymphangioma Managed Conservatively
Richard Mitchell1, Jonathan Reyes2, Vennis Lourdusamy3
1Internal Medicine, Icahn School of Medicine at Mount Sinai/New York City (NYC) Health + Hospitals-Elmhurst, Queens, USA.
Abstract:
Colonic lymphangiomas are rare and mostly incidental findings found on colonoscopy. It is important to be able to differentiate them from other lesions, such as lipomas. Furthermore, when in close proximity to the appendiceal orifice, such as cecal lesions, they must be differentiated from mucocele and carcinoid tumors. We present a case of a cecal lymphangioma that was managed conservatively. By using endoscopic ultrasound (EUS) and computed tomography to better characterize the cecal mass, it was unnecessary to perform a biopsy or polypectomy. This case highlights that biopsy and/or removal of lymphangiomas are not warranted in all cases of colonic lymphangiomas, especially when lesions are less than 2 cm.
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