Baghi Mohamed A, Hamid Abdulwahab, Badi Ahmed Mohamed, Al-Mohannadi Muneera Jassim
General Internal Medicine Hamad Medical Corporation Doha Qatar.
Qatar University College of Medicine (QU) Doha Qatar.
Clin Case Rep. 2025 Aug 7;13(8):e70637. doi: 10.1002/ccr3.70637. eCollection 2025 Aug.
Intestinal lymphangiectasia (IL) is a rare condition characterized by the blockage of lymphatic fluid draining from the small intestine. It commonly presents with symptoms such as malabsorption, diarrhea, and hypoproteinemia. Bleeding from IL is an infrequent manifestation. We report a rare case of bleeding intestinal lymphangiectasia in a patient who presented with symptomatic anemia and melena. Enteroscopy identified a focal mucosal lesion without active bleeding, while video capsule endoscopy revealed a mucosal lesion with active blood oozing in the proximal jejunum. Subsequent biopsy results confirmed focal lymphangiectasia with vascular congestion. The patient underwent laparoscopic resection of the jejunal lesion. Follow-up evaluations at 3 and 6 months showed no recurrence of symptoms.
肠淋巴管扩张症（IL）是一种罕见疾病，其特征为从小肠引流的淋巴液受阻。它通常表现为吸收不良、腹泻和低蛋白血症等症状。IL出血是一种不常见的表现。我们报告一例罕见的出血性肠淋巴管扩张症病例，该患者表现为症状性贫血和黑便。小肠镜检查发现一处无活动性出血的局灶性黏膜病变，而视频胶囊内镜检查显示空肠近端有一处黏膜病变伴有活动性渗血。随后的活检结果证实为局灶性淋巴管扩张症伴血管充血。该患者接受了空肠病变的腹腔镜切除术。3个月和6个月的随访评估显示症状未复发。
