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Intestinal T-cell lymphoma associated with celiac disease masked by cavernous lymphangioma
V Valentí1, J I Echeveste, J L Hernández Lizóain
1Servicio de Cirugía y del Aparato Digestivo. Clínica Universitaria de Navarra. Spain.
Insights
A patient with abdominal pain and a history of cavernous lymphangioma was diagnosed with intestinal lymphoma. This case highlights the rare co-occurrence of these conditions and the importance of thorough diagnostic evaluation.
Area of Science:
- Gastroenterology
- Oncology
- Radiology
Background:
- Cavernous lymphangioma is a rare benign vascular tumor.
- Intestinal lymphoma is a rare malignancy of the gastrointestinal tract.
- The co-occurrence of these two conditions is exceptionally rare.
Observation:
- A patient presented with acute abdominal pain and a history of cavernous lymphangioma.
- Imaging revealed multiple large retroperitoneal cysts and a perforated jejunal loop.
- Surgical intervention included intestinal resection and cyst removal.
Findings:
- Pathological analysis confirmed intestinal lymphoma associated with enteropathy.
- Abdominal cysts were consistent with cavernous lymphangioma.
- The study discusses the potential relationship between these two distinct pathologies.
Implications:
- This case underscores the importance of considering rare diagnoses in complex clinical presentations.
- Further research into the potential pathogenetic links between lymphangioma and lymphoma may be warranted.
- Highlights the diagnostic challenges and management strategies for co-existing gastrointestinal conditions.
Abstract:
We present the case of a patient admitted to our emergency ward with a clinical setting of acute abdominal pain and a history of cavernous lymphangioma, diagnosed in another center by exploratory lapartomy. The patient presented complete analysis including serology tests, as well as an abdominal CT scan that revealed multiple large size retroperitoneal cysts. In view of the clinical symptomatology and results of the tests, a second CT scan was carried out upon admission. As a result of the findings obtained, a second exploratory laparotomy was carried out in which intestinal resection of the perforated jejunal loop and largest cysts was performed. Pathological anatomy diagnosed an intestinal lymphoma associated with enteropathy and abdominal cysts compatible with cavernous lymphangioma. In this work we describe both pathologies, the most characteristic aspects are analyzed and the etiology and possible relation between both entities is discussed.
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