GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
LYMPHANGIECTASIA OF THE COLON: REPORT OF A CASE
Tadashi IWAOFumihiko YAMASHITAShinichi KUBOYAMATsukasa KATSUKIHajime HISANAGAKohichi IDEEi SASAKIAtsushi TOYONAGAKyuichi TANIKAWA
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1987 Volume 29 Issue 2 Pages 328-332_1

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Abstract

A 57-year-old male was admitted to our hospital because of intestinal obstruction. He had a history of repeated intestinal obstruction due to a narrowing of the sigmoid colon in recent three years. A barium enema study in Nov. 1982 revealed a slight narrowing of the sigmoid colon and it gradually progressed. Finally, a marked stenosis with granular appearance was recoginized at the last examination on Aug. 1985. A colonoscopy in Nov. 1982 disclosed a sessile elevated lesion with normal mucosa and edematous change. Multiple reddish small elavted lesions with narrowing of the lumen were endoscopically found in Aug. 1985. The histological study of the biopsy specimens revealed normal mucosa and the surgical operation was carried out for making a definite diagnosis and treatment. Histologically, there were many cystic lesions which were covered with endothelial cells in the propria mucosa and submucosa. A diagnosis of lymphangiectasia with chronic visceral peritonitis of the sigmoid colon was subsequently made. We discussed this case with a review of some literatures and lymphangiectasia of the coon has been very rarely reported.

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