Sekioka Akinori, Shono Yoko, Ito Tetsuo, Tsuboi Kunihiko, Ota Shuichi
Gastroenterological Surgery, Osaka Saiseikai-Noe Hospital, Osaka, JPN.
Cureus. 2024 Aug 1;16(8):e65977. doi: 10.7759/cureus.65977. eCollection 2024 Aug.
Lymphangiomas are rare, cystic tumors representing congenital malformation of the lymphatic vessels. Mesenteric lymphangioma (ML) is a rare presentation of lymphangiomas. Misdiagnosis of ML can occur because of its rarity and resemblance to other entities. Ulcerative colitis (UC) is the most common type of inflammatory bowel disease (IBD), with an increasing incidence in pediatric populations. Here, we present a rare case of the coexistence of ML and UC. The uncommon radiological findings of ML can lead to overlooking UC; however, slight dissociation between clinical symptoms and radiological findings and the consequential decision to further investigations enabled us to reach an accurate diagnosis and avoid delaying the treatment of UC.
淋巴管瘤是一种罕见的囊性肿瘤,代表淋巴管的先天性畸形。肠系膜淋巴管瘤(ML)是淋巴管瘤的一种罕见表现形式。由于其罕见性以及与其他疾病相似,ML可能会被误诊。溃疡性结肠炎(UC)是炎症性肠病(IBD)最常见的类型,在儿科人群中的发病率呈上升趋势。在此,我们报告一例ML与UC共存的罕见病例。ML不常见的影像学表现可能导致忽视UC;然而,临床症状与影像学表现之间的轻微差异以及随后决定进一步检查使我们能够做出准确诊断,并避免延误UC的治疗。