Large, vascular cecal mass.
A 74-year-old woman had a recent weight loss and history of breast and cutaneous malignancy. Medical evaluation included colonoscopy, which showed a 4 x 3 cm, vascular-appearing mass in the cecum. It was blue-tinged, soft, and easily deformed by pressure. Endoscopic ultrasonography characterized the lesion as a fluid-filled submucosal mass. Because of the suspicion of neoplasm, the patient had exploratory laparotomy and right hemicolectomy. Histopathologic examination revealed a lymphangioma. We review the literature regarding diagnosis and management of colonic lymphangiomas and describe a distinctive case.
Malhi-Chowla
Navreet
N
Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL 32224, USA.
Wolfsen
Herbert C
HC
Woodward
Timothy A
TA
D000368:Aged; D002430:Cecal Neoplasms / Q000473:pathology / Q000601:surgery; D003113:Colonoscopy; D019160:Endosonography; D005260:Female; D006801:Humans; D008202:Lymphangioma / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed