[Cystic lymphangioma with endosalpingiosis as a rare cause of gastrointestinal bleeding].
We report on a 31-year-old woman with an iron-deficiency anemia and positive Guaiac test, existing for more than 2 years. Despite an extensive gastrointestinal examination a bleeding source could not be found. Also angiography of the abdominal arteries with injection of heparin as provocative protocol was normal. Enteroclysis showed a remarkable finding which led to laparotomy. A cystic lymphangioma with endolymphatic endosalpingiosis as the bleeding source was identified and removed. Lymphangioma is a rare benign soft tissue tumor which usually appears during the first 2 years of life. Only in some cases the lymphangioma is intraabdominal and there can be different, no specific symptoms. Endosalpingiosis is also a rare benign disease, it consists of scattered epithelium of the Fallopian tube. It is the first case to our knowledge, in which the appearance of the endosalpingiosis in a lymphangioma is described.
Gerber
T
T
Medizinische Klinik II, Klinikum Osnabrück.
Bontikous
S
S
Smolka
G
G
Vestring
T
T
Schmidt
D
D
Gickler
W
W
D000328:Adult; D002828:Choristoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D004729:Endothelium, Lymphatic / Q000473:pathology; D005187:Fallopian Tubes; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007579:Jejunal Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D007580:Jejunal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D007583:Jejunum / Q000473:pathology; D018191:Lymphangioma, Cystic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery