A UNIQUE CASE OF MESENTERIC LYMPHANGIOMA FOUND BY SMALL INTESTINAL RADIOLOGY

Abstract

A 43-year-old man referred to our hospital for close examination for complaining of repeased tarry stool and anemia. Radiological examination revealed small tumor shadow in the lower ileal loop. During laparotomy, large mass measuring 10×6×4cm in the mesentery including segment of the ileum was resected. Histologically this tumor was diagnosed as cavernous lymphangioma. Tumor tissue invaded the mucosal surface and caused erosion. Gastrointestinal bleeding is believed to be originated from this area. "Thd flat elevation with fine whitish granules" which we observed endoscopically is the distinctive feature of intestinal lymphangioma invading the mucosal surface. We feel it necessary to keep in mind that lymphangioma can be the cause of gastro-intestinal bleeding although it is very rare.