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Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

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Related Experiment Video

Updated: Sep 17, 2025

The Role of Anatomical Dissection in Defining Colic and Small Bowel Artery Lymphovascular Bundles in the D3 Volume of Small and Large Bowel Mesentery
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Intestinal Lymphangioma Presenting With Small Bowel Bleeding.

Fatma Mahmoud1, Jenan Ghaith1, Javed Raza2

  • 1Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.

ACG Case Reports Journal
|June 30, 2025
PubMed
Summary

Obscure gastrointestinal bleeding can be challenging to diagnose. This case highlights how video capsule endoscopy and enteroscopy aid in detecting rare jejunal lymphangiomas, leading to successful surgical treatment.

Keywords:
GI bleedinglymphangiomavideo capsule endoscopy

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Diagnostic Imaging

Background:

  • Obscure gastrointestinal bleeding (OGIB) presents a significant diagnostic dilemma in gastroenterology.
  • Small bowel tumors, including lymphangiomas, are infrequent causes of OGIB.
  • Video capsule endoscopy (VCE) and enteroscopy have improved the detection rates of small bowel pathologies.

Observation:

  • A rare case of a jejunal lymphangioma presenting as OGIB is described.
  • The lymphangioma, a benign tumor of dilated lymphatic channels, was located in the jejunum.
  • Diagnosis was initially challenging due to the non-specific nature of obscure bleeding.

Findings:

  • Video capsule endoscopy successfully identified the jejunal lesion.
  • Enteroscopy provided detailed visualization and confirmation of the lymphangioma.
  • Surgical resection was performed for definitive treatment.

Implications:

  • This case underscores the utility of advanced endoscopic techniques in diagnosing rare small bowel tumors causing OGIB.
  • Early and accurate diagnosis through VCE and enteroscopy facilitates timely and effective management.
  • Surgical intervention remains a viable and successful treatment option for symptomatic jejunal lymphangiomas.