Mahmoud Fatma, Ghaith Jenan, Raza Javed, Anglade Pascale
Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Bariatric Surgery, General Surgery, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
ACG Case Rep J. 2025 Jun 26;12(7):e01743. doi: 10.14309/crj.0000000000001743. eCollection 2025 Jul.
Obscure gastrointestinal bleeding poses a diagnostic challenge for gastroenterologists, though advancements such as video capsule endoscopy and enteroscopy have led to increased detection of small bowel lymphangiomas. Lymphangiomas are benign tumors with dilated lymphatic channels that rarely affect the jejunum or ileum. We present a rare case of jejunal lymphangioma causing obscure gastrointestinal bleeding diagnosed by video capsule endoscopy, confirmed by enteroscopy, and successfully treated with surgical resection.
隐匿性胃肠道出血给胃肠病学家带来了诊断挑战,尽管诸如视频胶囊内镜检查和小肠镜检查等技术进步使得小肠淋巴管瘤的检出率有所提高。淋巴管瘤是一种具有扩张淋巴管的良性肿瘤,很少累及空肠或回肠。我们报告了一例罕见的空肠淋巴管瘤导致隐匿性胃肠道出血的病例,通过视频胶囊内镜检查诊断,经小肠镜检查确诊,并通过手术切除成功治疗。