Bleeding Intestinal lymphangiectasia, Jejunal lesion; case report

Abstract Text Aim: To present a case of jejunal lymphangiectasia in a 51-year-old female without any prior chronic medical conditions, emphasizing its rare association with gastrointestinal bleeding.

Methods: Detailed clinical history, diagnostic workup, and histopathological findings were reviewed, including endoscopy and laparoscopic resection.

Results: Anemia persisted despite initial investigations. Video capsule endoscopy revealed a mucosal lesion with blood oozing in the proximal jejunum. Enteroscopy showed focal lymphangiectasia, leading to successful laparoscopic resection and symptom resolution [1] [2] [3] [4] [5] [6] [7] [8] [9].

Conclusion: Timely recognition and management of this rare condition are essential for improved patient outcomes.

Publication History

Article published online:
15 April 2024

• References

• 1 Freeman HJ, Nimmo M. Intestinal lymphangiectasia in adults. World J Gastrointest Oncol 2011; 3: 19-23 DOI: 10.4251/wjgo. v3.i2.19.
• 2 Aoyagi K, Iida M, Yao T, Matsui T, Okada M, Oh K, Fujishima M. Characteristic endoscopic features of intestinal lymphangiectasia: correlation with histological findings. Hepatogastroenterology 1997; 44: 133-138
• 3 Herfarth H. A case of recurrent gastrointestinal bleeding and protein-losing gastroenteropathy. Nat Clin Pract Gastroenterol Hepatol 2007; 4: 288-293 DOI: 10.1038/ncpgasthep0812.
• 4 Fang YH. A primary intestinal lymphangiectasia patient diagnosed by capsule endoscopy and confifirmed atsurgery: a case report. World J Gastroenterol 2007; 13: 2263-2265 10.3748%2Fwjg.v13.i15.2263
• 5 olfenbach S, Mönkemüller K, Röcken C, Malfertheiner P. Whipple’s disease: magnification endoscopy and histological characteristics. Endoscopy 2008; 40 02. DOI: 10.1055/s-2006-925321
• 6 Flieger D, Keller R, May A, Ell C, Fischbach W. Capsule endoscopy in gastrointestinal lymphomas. Endoscopy 2005; 37: 1174-1180 DOI: 10.1055/s-2005-921045.
• 7 Bellutti M, Mönkemüller K, Fry LC. Characterization of yellow plaques found in the small bowel during double balloon enteroscopy. En-doscopy 2007; 39: 1059-1063 DOI: 10.1055/s-2007-966824.
• 8 Barquist ES, Apple SK, Jensen DM, Ashley SW. Jejunal lymphangioma. An unusual cause of chronic gastrointestinal bleeding. Dig Dis Sci 1997; 42: 1179-1183 DOI: 10.1023/a:1018889620827.
• 9 Li A.A., Raghu P. et al. Sticky Situation: Bleeding Duodenal Lymphangiectasias Treated with Lymphatic Glue Embolization. Dig Dis Sci 67: 71-74