Laparoscopy for evaluating mesenteric lymphangiomatosis: A case report
BackgroundLymphangiomatosis is an extremely rare disease with potential soft tissue, bone, and spleen involvement, which can be characterized by lymphangioma. Only a few cases of colon and mesenteric lymphangiomatosis have been reported. We report a case presenting with fatigue, periumbilical pain,...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.933777/full |
| _version_ | 1811340072158494720 |
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| author | Yefeng Yin Rongdi Wang Xishan Wang |
| author_facet | Yefeng Yin Rongdi Wang Xishan Wang |
| author_sort | Yefeng Yin |
| collection | DOAJ |
| description | BackgroundLymphangiomatosis is an extremely rare disease with potential soft tissue, bone, and spleen involvement, which can be characterized by lymphangioma. Only a few cases of colon and mesenteric lymphangiomatosis have been reported. We report a case presenting with fatigue, periumbilical pain, and intermittent bloody stools. This patient underwent a series of examinations. Exploratory laparoscopy, in particular, yielded very valuable images and videos for this disease, which can provide evidence for the diagnosis of this disease.Case summaryThe current patient had fatigue, periumbilical pain, and intermittent bloody stools. Colonoscopy indicated numerous variable-sized hyaline cysts in the colon. Submucosal puncture was performed during colonoscopy. The patient was readmitted to the hospital due to periumbilical pain. B-ultrasound and abdominal CT showed multiple hypoechoic nodules in the mesenteric area. Exploratory laparoscopy was performed, and histopathology revealed that D2-40 was positive. Based on auxiliary examination and laparoscopic biopsy, surgeons and pathologists reached the diagnosis of mesenteric lymphangiomatosis.ConclusionClinicians need to comprehensively improve their knowledge of lymphangiomatosis, and the combination of clinical symptoms, histological characteristics, and colonoscopy biopsy findings should be considered to improve lymphangiomatosis diagnosis, thereby reducing misdiagnosis.Core tipColon and mesenteric lymphangiomatosis is an extremely uncommon benign condition of unknown etiology and pathogenesis in adult patients. We report a case of mesenteric lymphangiomatosis in a 37-year-old woman who presented with fatigue, periumbilical pain, and intermittent bloody stools, as well as lesions in the kidney, spleen, and bones. This case provides new insights into the diagnosis and treatment of this disease. |
| first_indexed | 2024-04-13T18:36:53Z |
| format | Article |
| id | doaj.art-4739437014e6421599990a0f69ec98d8 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-13T18:36:53Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-4739437014e6421599990a0f69ec98d82022-12-22T02:34:51ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-10-011210.3389/fonc.2022.933777933777Laparoscopy for evaluating mesenteric lymphangiomatosis: A case reportYefeng Yin0Rongdi Wang1Xishan Wang2Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Anorectal Surgery, Dalian Municipal Central Hospital, Dalian, ChinaDepartment of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaBackgroundLymphangiomatosis is an extremely rare disease with potential soft tissue, bone, and spleen involvement, which can be characterized by lymphangioma. Only a few cases of colon and mesenteric lymphangiomatosis have been reported. We report a case presenting with fatigue, periumbilical pain, and intermittent bloody stools. This patient underwent a series of examinations. Exploratory laparoscopy, in particular, yielded very valuable images and videos for this disease, which can provide evidence for the diagnosis of this disease.Case summaryThe current patient had fatigue, periumbilical pain, and intermittent bloody stools. Colonoscopy indicated numerous variable-sized hyaline cysts in the colon. Submucosal puncture was performed during colonoscopy. The patient was readmitted to the hospital due to periumbilical pain. B-ultrasound and abdominal CT showed multiple hypoechoic nodules in the mesenteric area. Exploratory laparoscopy was performed, and histopathology revealed that D2-40 was positive. Based on auxiliary examination and laparoscopic biopsy, surgeons and pathologists reached the diagnosis of mesenteric lymphangiomatosis.ConclusionClinicians need to comprehensively improve their knowledge of lymphangiomatosis, and the combination of clinical symptoms, histological characteristics, and colonoscopy biopsy findings should be considered to improve lymphangiomatosis diagnosis, thereby reducing misdiagnosis.Core tipColon and mesenteric lymphangiomatosis is an extremely uncommon benign condition of unknown etiology and pathogenesis in adult patients. We report a case of mesenteric lymphangiomatosis in a 37-year-old woman who presented with fatigue, periumbilical pain, and intermittent bloody stools, as well as lesions in the kidney, spleen, and bones. This case provides new insights into the diagnosis and treatment of this disease.https://www.frontiersin.org/articles/10.3389/fonc.2022.933777/fulllymphangiomatosisexploratorylaparoscopycolonmesenteric |
| spellingShingle | Yefeng Yin Rongdi Wang Xishan Wang Laparoscopy for evaluating mesenteric lymphangiomatosis: A case report Frontiers in Oncology lymphangiomatosis exploratory laparoscopy colon mesenteric |
| title | Laparoscopy for evaluating mesenteric lymphangiomatosis: A case report |
| title_full | Laparoscopy for evaluating mesenteric lymphangiomatosis: A case report |
| title_fullStr | Laparoscopy for evaluating mesenteric lymphangiomatosis: A case report |
| title_full_unstemmed | Laparoscopy for evaluating mesenteric lymphangiomatosis: A case report |
| title_short | Laparoscopy for evaluating mesenteric lymphangiomatosis: A case report |
| title_sort | laparoscopy for evaluating mesenteric lymphangiomatosis a case report |
| topic | lymphangiomatosis exploratory laparoscopy colon mesenteric |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.933777/full |
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