Department of Gastroenterology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
World J Gastroenterol. 2012 May 7;18(17):2145-6. doi: 10.3748/wjg.v18.i17.2145.
Small intestinal hemolymphangioma is a very rare benign tumor. There was only one report of a hemolymphangioma of the pancreas invading to the duodenum until March 2011. Here we describe the first case of small intestinal hemolymphangioma with bleeding in a 57-year-old woman. She presented with persistent gastrointestinal bleeding and endoscopy revealed a small intestinal tumor. Partial resection of the small intestine was thus performed and the final pathological diagnosis was hemolymphangioma. We also highlight the difficultly in making an accurate preoperative diagnosis in spite of modern imaging techniques. To arrive at a definitive diagnosis and exclude malignancy, partial resection of the small intestine was considered to be the required treatment.
小肠淋巴管瘤是一种非常罕见的良性肿瘤。直到 2011 年 3 月,才有报道称胰腺淋巴管瘤侵犯十二指肠。本文描述了首例 57 岁女性小肠淋巴管瘤伴出血病例。患者表现为持续性胃肠道出血,内镜检查发现小肠肿瘤。因此行小肠部分切除术,最终病理诊断为淋巴管瘤。尽管有现代影像学技术,我们仍强调术前准确诊断的困难。为了明确诊断并排除恶性肿瘤,考虑行小肠部分切除术。