Multiple Intestinal Lymphangiomas with Episodic Hemorrhage Requiring Partial Laparoscopic Resection: A Case Report

Abstract Background:Lymphangioma is a non-epithelial tumor marked by aggregates of abnormally dilated lymphatics. Mesenteric occurrences account for <1% of all cases, and <0.05% involve the gastrointestinal tract. Most are confined to children, rarely affecting adults. Case presentation:Herein, we describe an elderly Japanese woman with anemia, hypoalbuminemia, and episodic bleeding due to multiple intestinal lymphangiomas. Abdominal computed tomography revealed multiple low-density defects of mesentery, with areas of intermediate (T1 images) or high (T2 images) signal intensity similarly dispersed in magnetic resonance scanning sequences. Single-balloon enteroscopy was undertaken, enabling identification and tattooing of a small intestinal bleeding source. Laparoscopy-assisted resection at this site served to control related hemorrhage, removing a histologically confirmed hemolymphangioma. Having recovered uneventfully, the patient remained stable 2 months postoperatively. Conclusions:Although rare in adults, mesenteric or gastrointestinal lymphangiomas must be considered in a setting of anemia and hypoalbuminemia. Complete resection is advantageous to improve patient symptoms, but limited resection of multiple lesions may be equally effective.

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A case of small-intestinal bleeding ulcer, diagnosed and treated with a single-balloon enteroscope

Progress of Digestive Endoscopy ◽

10.11641/pde.71.2_90 ◽

2007 ◽

Vol 71 (2) ◽

pp. 90-91

Author(s):

Masaru Yamagata ◽

Kaoru Yokoyama ◽

Tsutomu Minamino ◽

Azuma Murata ◽

Yasuhiro Ishiguro ◽

...

Keyword(s):

Bleeding Ulcer ◽

Intestinal Bleeding ◽

Small Intestinal Bleeding ◽

Small Intestinal ◽

Single Balloon

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SINGLE BALLOON ENTEROSCOPY: CROATIAN SINGLE CENTER EXPERIENCE ON 352 PROCEDURES

10.1055/s-0038-1637484 ◽

2018 ◽

Author(s):

M Kalauz ◽

N Rustemovic ◽

K Grubelic Ravic ◽

Z Krznaric

Keyword(s):

Single Center ◽

Balloon Enteroscopy ◽

Single Center Experience ◽

Single Balloon ◽

Single Balloon Enteroscopy

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Teriparatide Therapy for Bisphosphonate-Associated Osteonecrosis of the Jaw in an Elderly Japanese Woman with Severe Osteoporosis

Clinical Drug Investigation ◽

10.2165/11634430-000000000-00000 ◽

2012 ◽

Vol 32 (8) ◽

pp. 547-553 ◽

Cited By ~ 1

Author(s):

Jun Iwamoto ◽

Kaori Yago ◽

Yoshihiro Sato ◽

Hideo Matsumoto

Keyword(s):

Osteonecrosis Of The Jaw ◽

Japanese Woman ◽

Severe Osteoporosis ◽

Elderly Japanese

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Water exchange-assisted vs. carbon dioxide-insufflated single-balloon enteroscopy: randomized controlled trial

Endoscopy ◽

10.1055/a-1459-4571 ◽

2021 ◽

Author(s):

Shaopeng Liu ◽

Tao Dong ◽

Yupeng Shi ◽

Hui Luo ◽

Xianmin Xue ◽

...

Keyword(s):

Carbon Dioxide ◽

Randomized Controlled Trial ◽

Adverse Events ◽

Water Exchange ◽

Controlled Trial ◽

Control Group ◽

Balloon Enteroscopy ◽

Randomized Controlled ◽

Single Balloon ◽

Single Balloon Enteroscopy

Background and study aims Single-balloon enteroscopy (SBE) is a valuable but difficult modality for the diagnosis and treatment of small-bowel diseases. The water exchange (WE) method has the advantage of facilitating intubation during colonoscopy. Here, we evaluated the effects of WE on procedure-related variables related to SBE. Patients and methods This randomized controlled trial was conducted in a tertiary-care referral center in China. Patients with attempt at total enteroscopy (ATE) were randomly allocated to undergo WE-assisted (WE group) or carbon dioxide-insufflated enteroscopy (CO2 group). All patients were planned to undergo both antegrade and retrograde procedures. The primary outcome was the total enteroscopy rate (TER). Secondary outcomes included maximal insertion depth, positive findings, procedural time and adverse events. Results In total, 110 patients were enrolled, with 55 in each group. Baseline characteristics between the two groups were comparable. TER was achieved in 58.2% (32/55) of the WE group and 36.4% (20/55) of the control group (p=0.022). The estimated intubation depth was 521.2±101.4 cm in the WE group and 481.6±95.2 cm in the CO2 group (p=0.037). The insertion time was prolonged in the WE group compared with CO2 group (178.9±45.1 min vs. 154.2±27.6 min, p<0.001). Endoscopic findings and adverse events were comparable between the two groups. Conclusions The WE method improved TER and increased intubation depth during SBE. The use of WE did not increase complications of enteroscopy. Clinical trial registation: https://clinicaltrials.gov/， NCT01942863.

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Single‐balloon enteroscopy assisted successful removal of a migrated covered self‐expandable metal stent for hepaticojejunostomy anastomotic stenosis

Digestive Endoscopy ◽

10.1111/den.13913 ◽

2020 ◽

Author(s):

Haruka Toyonaga ◽

Tsuyoshi Hayashi ◽

Akio Katanuma

Keyword(s):

Anastomotic Stenosis ◽

Metal Stent ◽

Balloon Enteroscopy ◽

Successful Removal ◽

Single Balloon ◽

Single Balloon Enteroscopy ◽

Self Expandable Metal Stent

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Single Balloon Enteroscopy for Endoscopic Retrograde Cholangiography in a Patient with Hepaticojejunostomy after Liver Transplant

Gastroenterology Research and Practice ◽

10.1155/2010/701696 ◽

2010 ◽

Vol 2010 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Marta Di Pisa ◽

Roberto Miraglia ◽

Riccardo Volpes ◽

Salvatore Gruttadauria ◽

Mario Traina

Keyword(s):

Small Bowel ◽

Liver Transplant ◽

Transplant Patient ◽

Biliary Tree ◽

Endoscopic Retrograde ◽

Balloon Enteroscopy ◽

Post Transplant ◽

Biliary Anastomosis ◽

Single Balloon ◽

Single Balloon Enteroscopy

We report a case of a post-transplant patient with hepaticojejunostomy in whom we used a single balloon enteroscopy to access the biliary tree. This procedure seems to be safe and feasible for approaching the biliary anastomosis by means of the overtube and fixation of the small bowel by the balloon.

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