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Protein kaybettiren enteropati ile presente olan intestinal lenfanjiomatozis

Year 2017, Volume: 16 Issue: 1, 36 - 39, 24.04.2017
https://doi.org/10.17941/agd.317083

Abstract

Lenfanjioma lenfatik sistemde proliferasyon ve genişleme ile karakterize bir benign tümördür. Lenfanjiomalar submukozal tümörlerdir, endotel ile kaplı lenfatik alan, lenfatik doku ve düz kas içerirler. Beyin dokusu lenfatik sistem içermediği için beyinde görülmez, bunun dışında bütün organları etkileyebilmektedir. Her organda görülebilmesine karşın yetişkin hastalarda ve intestinal tutulum çok nadirdir. Bu vakada pretibial ödem ve hipoalbuminemisi olan 44 yaşında bayan hasta anlatılmıştır. Batın ultrasonografisinde minimal serbest sıvı görüldü. Tomografide ileumda segmental duvar kalınlaşması bulundu. Hastaya kapsül endoskopi ile intestinal lenfanjiomatozis tanısı konuldu.

References

  • 1- Kim J, Han D, Hong CH, et al. Colonic lymphangiomatosis associated with protein losing enteropathy. Dig Dis Sci 2005;50:1747-53. 2- Jung SW, Cha JM, Lee JI, et al. A case report wih lymphangiomatosis of the colon. J Korean Med Sci 2010;25:155-8. 3- Chung WC, Kim HY, Yoo JY, et al. Colonic lymphangiomatosis associated with anemia. World J Gastroenterol 2008;14:5760-2. 4- De Perrot M, Rostan O, Morel P, LeCoultre C. Abdominal lymphangioma in adults and children. Br J Surg 1998;85:395-7. 5- Harruela-Suffee C, Warin M, Castier-Amouyel M , et al. Whole-body MRI in generalized cystic lymphangiomatosis in the pediatric population: diagnosis, differential diagnoses, and follow-up. Skeletal Radiol 2016;45:177-85. 6- Lohrmann C, Foeldi E, Langer M. Assessment of the lymphatic system in patients with diffuse lymphangiomatosis by magnetic resonance imaging. Eur J Radiol 2011;80:576-81. 7-Allen JG, Riall TS, Cameron JL, et al. Abdominal lymphangiomas in adults. J Gastrointest Surg 2006;10:746-51. 8- Kosir MA, Sonnino RE, Gauderer MW. Pediatric abdominal lymphangiomas: a plea for early recognition. J Pediatr Surg 1991;26:1309-13. 9- Luo CC, Huang CS, Chao HC, et al. Intra-abdominal cystic lymphangiomas in infancy and childhood. Chang Gung Med J 2004;27:509-14. 10- Goh BK, Tan YM, Ong HS, et al. Intra-abdominal and retroperitoneal lymphangiomas in pediatric and adult patients. World J Surg 2005;29:837-40. 11- Marom EM, Moran CA, Munden RF. Generalized lymphangiomatosis. AJR Am J Roentgenol 2004;182:1068.
  • 12- Lin RY, Zou H, Chen TZ, et al. Abdominal lymphangiomatosis in a 38 year old female: Case report and literature review. World J Gastroenterol 2014;20:8320-4. 13- Wiegand S1, Eivazi B, Barth PJ, et al. Pathogenesis of lymphangiomas. Virchows Arch 2008;453:1-8. 14- Fernández Hurtado I1, Bregante J, Mulet Ferragut JF, Morón Canis JM. Abdominal cystic lymphangioma. Cir Pediatr 1998;11:171-3. 15- Kurtz RJ, Heimann TM, Holt J, Beck AR. Mesenteric and retroperitoneal cysts. Ann Surg 1986;203:109-12.
  • 16- Losanoff JE, Richman BW, El-Sherif A, et al. Mesenteric cystic lymphangioma. J Am Coll Surg 2003;196:598-603. 17- Takiff H, Calabria R, Yin L, Stabile BE. Mesenteric cysts and intraabdominal cystic lymphangiomas. Arch Surg 1985;120:1266-9. 18- Williams HB. Hemangiomas and lymphangiomas. Adv Surg 1981;15:317-49. 19-Jain S, Jain M, Meena LN, Bansal S. Lymphangioma of small bowel wall: A rare case report SEAJCRR 2014;3:811-6. 20-Wani I. Mesenteric lymphangioma in adult: A case series with a review of the literature. Dig Dis Sci 2009;54:2758-62. 21- Mostofian E, Ornvold K, Latchaw L, Harris RD. Prenatal sonographic diagnosis of abdominal mesenteric lymphangioma. Ultrasound Med 2004;23:129-32. 22- Poon MCM, Lee DWH, Wong PK, Chan ACW. Mesenteric cystic lymphangioma presented with small bowel volvulus. Ann Coll Surg Hong Kong 2001;5:127-8.
  • 23- Su CM, Yu MC, Chen HY, et al. Single-centre results of treatment of retroperitoneal and mesenteric cystic lymphangioma. Dig Surg 2007;24:181-5.
  • 24- Roisman I, Manny J, Fields S, Shiloni E. Intraabdominal lymphangioma. Br J Surg 1989;76:485-9.

Intestinal lymphangiomatosis presenting with protein-losing enteropathy

Year 2017, Volume: 16 Issue: 1, 36 - 39, 24.04.2017
https://doi.org/10.17941/agd.317083

Abstract

Lymphangioma is a benign tumor characterized by proliferation and dilatation of lymph vessels. Lymphangiomas are submucosal tumors consisting of an endothelial lining with lymphatic spaces, lymphoid tissue, and smooth muscle. They can affect all the organs except the brain, because the brain does not contain a lymphatic system. Although this disease can be seen in any organ, intestinal presentation in an adult is very rare. In this case report, we present a 44-year-old woman with pretibial edema and hypoalbuminemia. Abdominal ultrasonography showed minimal free fluid, and a computed tomography scan showed segmental wall thickening of the ileum. The patient was diagnosed with intestinal lymphangiomatosis by capsule endoscopy.


References

  • 1- Kim J, Han D, Hong CH, et al. Colonic lymphangiomatosis associated with protein losing enteropathy. Dig Dis Sci 2005;50:1747-53. 2- Jung SW, Cha JM, Lee JI, et al. A case report wih lymphangiomatosis of the colon. J Korean Med Sci 2010;25:155-8. 3- Chung WC, Kim HY, Yoo JY, et al. Colonic lymphangiomatosis associated with anemia. World J Gastroenterol 2008;14:5760-2. 4- De Perrot M, Rostan O, Morel P, LeCoultre C. Abdominal lymphangioma in adults and children. Br J Surg 1998;85:395-7. 5- Harruela-Suffee C, Warin M, Castier-Amouyel M , et al. Whole-body MRI in generalized cystic lymphangiomatosis in the pediatric population: diagnosis, differential diagnoses, and follow-up. Skeletal Radiol 2016;45:177-85. 6- Lohrmann C, Foeldi E, Langer M. Assessment of the lymphatic system in patients with diffuse lymphangiomatosis by magnetic resonance imaging. Eur J Radiol 2011;80:576-81. 7-Allen JG, Riall TS, Cameron JL, et al. Abdominal lymphangiomas in adults. J Gastrointest Surg 2006;10:746-51. 8- Kosir MA, Sonnino RE, Gauderer MW. Pediatric abdominal lymphangiomas: a plea for early recognition. J Pediatr Surg 1991;26:1309-13. 9- Luo CC, Huang CS, Chao HC, et al. Intra-abdominal cystic lymphangiomas in infancy and childhood. Chang Gung Med J 2004;27:509-14. 10- Goh BK, Tan YM, Ong HS, et al. Intra-abdominal and retroperitoneal lymphangiomas in pediatric and adult patients. World J Surg 2005;29:837-40. 11- Marom EM, Moran CA, Munden RF. Generalized lymphangiomatosis. AJR Am J Roentgenol 2004;182:1068.
  • 12- Lin RY, Zou H, Chen TZ, et al. Abdominal lymphangiomatosis in a 38 year old female: Case report and literature review. World J Gastroenterol 2014;20:8320-4. 13- Wiegand S1, Eivazi B, Barth PJ, et al. Pathogenesis of lymphangiomas. Virchows Arch 2008;453:1-8. 14- Fernández Hurtado I1, Bregante J, Mulet Ferragut JF, Morón Canis JM. Abdominal cystic lymphangioma. Cir Pediatr 1998;11:171-3. 15- Kurtz RJ, Heimann TM, Holt J, Beck AR. Mesenteric and retroperitoneal cysts. Ann Surg 1986;203:109-12.
  • 16- Losanoff JE, Richman BW, El-Sherif A, et al. Mesenteric cystic lymphangioma. J Am Coll Surg 2003;196:598-603. 17- Takiff H, Calabria R, Yin L, Stabile BE. Mesenteric cysts and intraabdominal cystic lymphangiomas. Arch Surg 1985;120:1266-9. 18- Williams HB. Hemangiomas and lymphangiomas. Adv Surg 1981;15:317-49. 19-Jain S, Jain M, Meena LN, Bansal S. Lymphangioma of small bowel wall: A rare case report SEAJCRR 2014;3:811-6. 20-Wani I. Mesenteric lymphangioma in adult: A case series with a review of the literature. Dig Dis Sci 2009;54:2758-62. 21- Mostofian E, Ornvold K, Latchaw L, Harris RD. Prenatal sonographic diagnosis of abdominal mesenteric lymphangioma. Ultrasound Med 2004;23:129-32. 22- Poon MCM, Lee DWH, Wong PK, Chan ACW. Mesenteric cystic lymphangioma presented with small bowel volvulus. Ann Coll Surg Hong Kong 2001;5:127-8.
  • 23- Su CM, Yu MC, Chen HY, et al. Single-centre results of treatment of retroperitoneal and mesenteric cystic lymphangioma. Dig Surg 2007;24:181-5.
  • 24- Roisman I, Manny J, Fields S, Shiloni E. Intraabdominal lymphangioma. Br J Surg 1989;76:485-9.
There are 5 citations in total.

Details

Journal Section Articles
Authors

Eray Atalay This is me

Halil İbrahim Erdoğdu This is me

Bilge Kağan Tur

Mehmet Tamer Özdemir This is me

Publication Date April 24, 2017
Published in Issue Year 2017 Volume: 16 Issue: 1

Cite

APA Atalay, E., Erdoğdu, H. İ., Tur, B. K., Özdemir, M. T. (2017). Protein kaybettiren enteropati ile presente olan intestinal lenfanjiomatozis. Akademik Gastroenteroloji Dergisi, 16(1), 36-39. https://doi.org/10.17941/agd.317083

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