A CASE OF DUODENAL LYMPHANGIOMA WITH SEVERE HEMORRHAGE CONTROLLED USING SURGICAL RECONSTRUCTION AFTER COMORBID GASTRIC CANCER RESECTION

Abstract

In a 49-year-old woman with gastric cancer scheduled for resection, EGD revealed a hemorrhagic duodenal lymphangioma causing severe anemia. Since pancreaticoduodenectomy for complete resection of the lymphangioma was deemed excessive for this benign disease, only distal gastrectomy for gastric cancer was performed with Billroth-Ⅱ reconstruction, which prevented exposing the lymphangioma to diet and gastric acid. Endoscopic findings indicating bleeding abated postoperatively. No lesion progression or clinical signs of rebleeding were observed during a 3-year follow-up period.