[Cystic lymphangioma of the duodenum revealed by digestive hemorrhage and associated with exudative enteropathy].
Cystic lymphangioma is a rare and benign congenital lesion of the lymphatic system, which can become manifest at any age. Intra-abdominal cysts are found in less than 10% of cases and mesenteric involvement is the most common. The case of a patient with intra-abdominal cystic lymphangioma that involved the liver, the spleen, the kidney and the small intestine, and complicated by gastrointestinal bleeding and protein losing enteropathy is reported herein. Despite severe gastro-intestinal manifestations, spontaneous outcome was favorable. This observation suggests that a) duodenal cystic lymphangioma must be considered as a cause of gastrointestinal bleeding and of protein losing enteropathy, b) conservative treatment can be proposed.
Gerosa
Y
Y
Service d'Hépato-Gastroentérologie, Groupe Hospitalier Pitié-Salpêtrière, Paris.
Bernard
B
B
Lagneau
M
M
You
K
K
Hoang
C
C
Brasseur
J L
JL
Opolon
P
P
Valla
D
D
D000368:Aged; D004379:Duodenal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007580:Jejunal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging; D007680:Kidney Neoplasms / Q000150:complications; D008113:Liver Neoplasms / Q000150:complications; D008297:Male; D009853:Omeprazole / Q000627:therapeutic use; D011504:Protein-Losing Enteropathies / Q000150:complications*; D013160:Splenic Neoplasms / Q000150:complications; D014057:Tomography, X-Ray Computed
D009853:Omeprazole
Lymphangiome kystique du duodénum révélé par une hémorragie digestive et associé à une entéropathie exsudative.