Giuliani A, Romano L, Coletti G, Walid A Fatayer M, Calvisi G, Maffione F, Muolo C, Vicentini V, Schietroma M, Carlei F. Lymphangiomatosis of the ileum with perforation: A case report and review of the literature.
Ann Med Surg (Lond) 2019;
41:6-10. [PMID:
30992989 PMCID:
PMC6449703 DOI:
10.1016/j.amsu.2019.03.010]
[Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Accepted: 03/24/2019] [Indexed: 01/10/2023] Open
Abstract
Lymphangiomatosis is a benign proliferation of lymph vessels. Lymphatic diseases can vary from small lymphangioma to generalized lymphangiomatosis, which is a rare condition and can have several clinical manifestations. The gastrointestinal tract may be affected, but the incidence in the intestinal wall is very low. We propose in our study a case of ileal lymphangiomatosis presenting with perforation, in which the diagnosis was made after the pathological analysis of the resected intestinal tract. Although rare and not described in the literature, intestinal lymphangiomatosis could manifest itself with acute abdomen and could be a surgical urgency. This disease should be considered when intestinal perforation is observed.
Lymphangiomatosis is a multisystemic disorder.
The GI tract may be affected, but the incidence of lymphangioma of the intestinal wall is very low.
Lymphangiomatosis of the small bowel is a rare disease, so it is easy for a clinician to make a misdiagnosis.
Intestinal lymphangiomatosis could manifest itself with an acute abdomen and surgical urgency.
The pathologist should keep it in mind in the differential diagnosis, when he analyses a case of perforation.
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