Mir Adil S, Abel William F, Lebel David P
Gastroenterology, Virginia Tech Carilion School of Medicine, Roanoke, USA.
Internal Medicine, Carilion Clinic, Roanoke, USA.
Cureus. 2023 May 16;15(5):e39085. doi: 10.7759/cureus.39085. eCollection 2023 May.
Lymphangiomas are benign malformations of the lymphatic vessels which can be primary or secondary in etiology. Colonic involvement is rare, and the diagnosis is mostly incidental. Sometimes, the initial endoscopic appearance can be misleading. We present a case of colonic lymphangiomatosis presenting with free air under the diaphragm requiring surgical removal of the involved portion of the colon. The diagnosis was confirmed by the pathology of the resected specimen and its correlation with prior clinical information. The patient recovered well with an uneventful postoperative course and follow-up. This case demonstrates a rare complication of colonic lymphangiomatosis prompting definitive treatment by surgical resection.
淋巴管瘤是淋巴管的良性畸形，其病因可以是原发性或继发性的。结肠受累罕见，诊断大多是偶然发现。有时，最初的内镜表现可能会产生误导。我们报告一例结肠淋巴管瘤病患者，其表现为膈下有游离气体，需要手术切除受累的结肠部分。通过切除标本的病理检查及其与先前临床信息的相关性确诊。患者术后恢复良好，术后过程平稳，随访情况良好。该病例展示了结肠淋巴管瘤病一种罕见的并发症，促使通过手术切除进行确定性治疗。
