Case report: Submucosal cavernous lymphangioma causing jejuno-jejunal intussusception in an adult
Cavernous lymphangioma often occurs in the head, neck, trunk, and extremities of infants and children, and it is rare to cause a small intestine intussusception in adults. In this case, a 32-year-old woman presented with abdominal pain, vomiting, and a 5 cm × 5 cm abdominal mass on the left side of...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-09-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.953840/full |
| _version_ | 1797986224381624320 |
|---|---|
| author | Ning Zhao Yuhang Fu Zhongzheng Wang Qi An Wenzhuo Jia |
| author_facet | Ning Zhao Yuhang Fu Zhongzheng Wang Qi An Wenzhuo Jia |
| author_sort | Ning Zhao |
| collection | DOAJ |
| description | Cavernous lymphangioma often occurs in the head, neck, trunk, and extremities of infants and children, and it is rare to cause a small intestine intussusception in adults. In this case, a 32-year-old woman presented with abdominal pain, vomiting, and a 5 cm × 5 cm abdominal mass on the left side of the abdomen. Laboratory tests showed anemia and CT showed small intestinal intussusception. After conservative treatments, her symptoms disappeared. However, 18F-FDG PET/CT suggested malignancy and her symptoms reappeared after eating something. Segmental jejunal resection was performed and pathology showed submucosal cavernous lymphangioma. At the 1-year follow-up, the patient was asymptomatic. Then this paper reviewed the literature on small intestinal cavernous lymphangioma in adults and found that this is the first English case report of intussusception caused by a jejunal submucosal cavernous lymphangioma in an adult. Current problem is that adult intussusception and intestinal lymphangioma are difficult to diagnose preoperatively. Imaging techniques such as tomography and PET/CT aid in the diagnosis of these benign lesions. Surgical resection was considered to be the required treatment and seems to have had no recurrence in adults according to the literature. |
| first_indexed | 2024-04-11T07:29:34Z |
| format | Article |
| id | doaj.art-41e0c8d6664749d7b9d5a3890a7ca1cd |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T07:29:34Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-41e0c8d6664749d7b9d5a3890a7ca1cd2022-12-22T04:36:56ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-09-01910.3389/fsurg.2022.953840953840Case report: Submucosal cavernous lymphangioma causing jejuno-jejunal intussusception in an adultNing Zhao0Yuhang Fu1Zhongzheng Wang2Qi An3Wenzhuo Jia4Department of General Surgery, Department of Gastrointestinal Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, ChinaDepartment of General Surgery, Peking University Fifth School of Clinical Medicine, Beijing Hospital, Beijing, ChinaDepartment of General Surgery, Peking University Fifth School of Clinical Medicine, Beijing Hospital, Beijing, ChinaDepartment of General Surgery, Department of Gastrointestinal Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, ChinaDepartment of General Surgery, Department of Gastrointestinal Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, ChinaCavernous lymphangioma often occurs in the head, neck, trunk, and extremities of infants and children, and it is rare to cause a small intestine intussusception in adults. In this case, a 32-year-old woman presented with abdominal pain, vomiting, and a 5 cm × 5 cm abdominal mass on the left side of the abdomen. Laboratory tests showed anemia and CT showed small intestinal intussusception. After conservative treatments, her symptoms disappeared. However, 18F-FDG PET/CT suggested malignancy and her symptoms reappeared after eating something. Segmental jejunal resection was performed and pathology showed submucosal cavernous lymphangioma. At the 1-year follow-up, the patient was asymptomatic. Then this paper reviewed the literature on small intestinal cavernous lymphangioma in adults and found that this is the first English case report of intussusception caused by a jejunal submucosal cavernous lymphangioma in an adult. Current problem is that adult intussusception and intestinal lymphangioma are difficult to diagnose preoperatively. Imaging techniques such as tomography and PET/CT aid in the diagnosis of these benign lesions. Surgical resection was considered to be the required treatment and seems to have had no recurrence in adults according to the literature.https://www.frontiersin.org/articles/10.3389/fsurg.2022.953840/fullcavernous lymphangiomaintussusceptionjejunal tumorcase reportsmall intestine |
| spellingShingle | Ning Zhao Yuhang Fu Zhongzheng Wang Qi An Wenzhuo Jia Case report: Submucosal cavernous lymphangioma causing jejuno-jejunal intussusception in an adult Frontiers in Surgery cavernous lymphangioma intussusception jejunal tumor case report small intestine |
| title | Case report: Submucosal cavernous lymphangioma causing jejuno-jejunal intussusception in an adult |
| title_full | Case report: Submucosal cavernous lymphangioma causing jejuno-jejunal intussusception in an adult |
| title_fullStr | Case report: Submucosal cavernous lymphangioma causing jejuno-jejunal intussusception in an adult |
| title_full_unstemmed | Case report: Submucosal cavernous lymphangioma causing jejuno-jejunal intussusception in an adult |
| title_short | Case report: Submucosal cavernous lymphangioma causing jejuno-jejunal intussusception in an adult |
| title_sort | case report submucosal cavernous lymphangioma causing jejuno jejunal intussusception in an adult |
| topic | cavernous lymphangioma intussusception jejunal tumor case report small intestine |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.953840/full |
| work_keys_str_mv | AT ningzhao casereportsubmucosalcavernouslymphangiomacausingjejunojejunalintussusceptioninanadult AT yuhangfu casereportsubmucosalcavernouslymphangiomacausingjejunojejunalintussusceptioninanadult AT zhongzhengwang casereportsubmucosalcavernouslymphangiomacausingjejunojejunalintussusceptioninanadult AT qian casereportsubmucosalcavernouslymphangiomacausingjejunojejunalintussusceptioninanadult AT wenzhuojia casereportsubmucosalcavernouslymphangiomacausingjejunojejunalintussusceptioninanadult |