Case Presentation:
- Patient: 32-year-old individual.
- Symptoms: Melena and a drop in hemoglobin to 9 gr/dl.
- Findings: 3 cm yellowish, polypoid lesion in the proximal jejunum identified via double balloon enteroscopy.
- Procedure: India Ink tattoo mark placed for future surgical identification.
About Cavernous Lymphangiomas:
- What are they? Rare benign tumors.
- Location: Typically intra-abdominal, near the mesentery or within the small bowel.
Symptoms & Complications:
- Gastrointestinal bleeding (significant or obscure).
- Anemia.
- Abdominal discomfort.
- Small bowel obstruction.
Endoscopic Recognition:
- Importance: Can resemble neuroendocrine tumors.
- Recommendation: Endoscopists should be vigilant.
Treatment Options:
- Best Approach: Complete resection to prevent recurrence.
- Alternative Therapies: Argon plasma coagulation, sclerosant injections, and endoscopic resection (best for smaller lesions or when surgery isn't feasible).
Conclusion: Cavernous lymphangiomas, though rare, present potential complications. Medical professionals should be well-informed about them and the available treatment options.
Read more: https://www.thepracticingendoscopist.com/p/mid-gi-bleeding-of-obscure-cause
