Abstract
We present here a case of lymphangioma of the cecum with intussusception. A 30-year-old woman with epigastric pain was admitted to our hospital. Laboratory tests on admission revealed a slight increase in WBC count and CRP. However, there were no noteworthy abnormalities in her other blood data including tumor markers (CEA and CA19-9). Abdominal ultrasonography (US) and computed tomography (CT) showed a target sign in the right colon suggesting intussusception, which was reduced correctly during emergency colonoscopy. Colonoscopy showed a soft, dark brown submucosal tumor with a smooth surface at the cecum, located on the opposite side of Bauhin's valve. Ileocecal resection was performed under a diagnosis of submucosal tumor of the cecum a week later. The patient's postoperative course was uneventful. The mass measured about 3 cm in diameter. Macroscopically, its cut surface was cystic and it contained yellowish, serous fluid. Histopathologically, this tumor was diagnosed as cystic lymphangioma of the cecum. We reviewed 16 cases including our case of cecal lymphangioma with intussusception together with some discussion of the Japanese literature.
