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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Histology of the Small Intestine01:27

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The small intestine exhibits a unique histological structure that significantly enhances its function in digestion and nutrient absorption. These structures include circular folds, villi, and various specialized cells that collectively facilitate the digestion of food.
The intestinal lining features transverse folds called circular folds, each housing fingerlike projections known as intestinal villi. These villi are covered by a layer of simple columnar epithelium, also referred to as...
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Esophageal Varices-I: Introduction01:24

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Blood Supply to the Digestive System01:16

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Splanchnic circulation refers to the network of blood vessels that supply and drain blood from the abdominal organs involved in digestion, including the stomach, liver, pancreas, intestines, and spleen. This circulation delivers essential nutrients and oxygen while removing waste products from these organs.
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Introduction
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Risk Factors
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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
05:43

The Role of Anatomical Dissection in Defining Colic and Small Bowel Artery Lymphovascular Bundles in the D3 Volume of Small and Large Bowel Mesentery

Published on: August 1, 2025

159

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.