Hemorrhage from a Jejunal Lymphangioma.

Authors

Sachiko Ishikami, Shuta Tamura, Motoyasu Tabuchi, Nao Yamamoto, Yuki Okamoto, Rika Yoshimatsu, Manabu Matsumoto, Jun Iwata, Takehiro Okabayashi

Published in

Acta medica Okayama. Volume 80. Issue 4. Pages 253-257.

Abstract

Lymphangioma is a benign tumor arising from lymphatic vessel proliferation and most commonly occurs in the head, neck, or axilla. Involvement of the small intestine is rare and is often overlooked as a source of obscure gastrointestinal bleeding. Because jejunal lymphangiomas frequently present with nonspecific symptoms and may escape detection by conventional upper and lower gastrointestinal endoscopy or cross-sectional imaging, diagnosis is often delayed. Advances in balloon-assisted enteroscopy have enabled direct visualization of small intestinal lesions, facilitating accurate diagnosis and appropriate therapeutic decision-making. Here, we report a case of jejunal lymphangioma presenting with severe anemia due to active bleeding, which was detected by double-balloon endoscopy and successfully managed by laparoscopic-assisted resection. This case highlights the importance of considering small intestinal lymphangioma in the differential diagnosis of unexplained gastrointestinal bleeding and underscores the clinical utility of deep enteroscopy in identifying rare but clinically significant small bowel tumors.

PMID:
42633996
Bibliographic data and abstract were imported from PubMed on 24 Aug 2026.

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