Qu Luo-Wei, Li Qiu-Xia, Zhu Wen-Ying, Kang Min
Department of Gastroenterology, The Affiliated Hospital, Southwest Medical University, Luzhou 646000, Sichuan Province, China.
World J Gastrointest Surg. 2025 Jan 27;17(1):98891. doi: 10.4240/wjgs.v17.i1.98891.
Cystic lymphangioma is a rare hamartoma that is especially found in the adult gastrointestinal tract. In the early stage, most patients are asymptomatic; after the onset of symptoms, there is often no specificity regarding symptoms.
Here we report the endoscopic diagnosis and treatment of an adult patient with cystic lymphangioma of the ascending colon. One patient who came to our hospital with "dull pain in the left lower abdomen for 2 days" was initially misdiagnosed with a colon cyst according to endoscopy and then underwent endoscopic submucosal dissection. The final pathological results suggested cystic lymphangioma. One year later, no recurrence was found on re-examination colonoscopy.
Cystic lymphangioma in the gastrointestinal tract rarely occurs in adults and is easily misdiagnosed or missed. Endoscopy, imaging, histology, and immunohistochemical staining are useful for diagnosis. Surgical resection is the preferred treatment.
囊性淋巴管瘤是一种罕见的错构瘤，尤其多见于成人胃肠道。早期，大多数患者无症状；症状出现后，症状往往缺乏特异性。
在此我们报告1例升结肠囊性淋巴管瘤成年患者的内镜诊断及治疗情况。1例因“左下腹隐痛2天”来我院就诊的患者，最初经内镜检查误诊为结肠囊肿，随后接受了内镜黏膜下剥离术。最终病理结果提示为囊性淋巴管瘤。1年后复查结肠镜未发现复发。
胃肠道囊性淋巴管瘤在成人中很少见，容易被误诊或漏诊。内镜检查、影像学检查、组织学检查及免疫组化染色有助于诊断。手术切除是首选治疗方法。
