Qu LW, Li QX, Zhu WY, Kang M. Endoscopic submucosal dissection in the treatment of adult cystic lymphangioma: A case report. World J Gastrointest Surg 2025; 17(1): 98891 [PMID: PMC11757210 DOI: 10.4240/wjgs.v17.i1.98891]
Corresponding Author of This Article
Min Kang, Associate Chief Physician, Associate Professor, MD, PhD, Department of Gastroenterology, The Affiliated Hospital, Southwest Medical University, No. 25 Taiping Street, Jiangyang District, Luzhou 646000, Sichuan Province, China. kangmin@swmu-edu.cn
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jan 27, 2025; 17(1): 98891 Published online Jan 27, 2025. doi: 10.4240/wjgs.v17.i1.98891
Endoscopic submucosal dissection in the treatment of adult cystic lymphangioma: A case report
Luo-Wei Qu, Qiu-Xia Li, Wen-Ying Zhu, Min Kang
Luo-Wei Qu, Qiu-Xia Li, Wen-Ying Zhu, Min Kang, Department of Gastroenterology, The Affiliated Hospital, Southwest Medical University, Luzhou 646000, Sichuan Province, China
Author contributions: Qu LW contributed to the acquisition of patient information and manuscript writing; Li QX and Zhu WY participated in the collection of the patient data; Kang M revised the manuscript; and all authors read and approved the final manuscript.
Informed consent statement: The patient has signed informed consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Min Kang, Associate Chief Physician, Associate Professor, MD, PhD, Department of Gastroenterology, The Affiliated Hospital, Southwest Medical University, No. 25 Taiping Street, Jiangyang District, Luzhou 646000, Sichuan Province, China. kangmin@swmu-edu.cn
Received: July 8, 2024 Revised: September 26, 2024 Accepted: November 18, 2024 Published online: January 27, 2025 Processing time: 171 Days and 23.6 Hours
Abstract
BACKGROUND
Cystic lymphangioma is a rare hamartoma that is especially found in the adult gastrointestinal tract. In the early stage, most patients are asymptomatic; after the onset of symptoms, there is often no specificity regarding symptoms.
CASE SUMMARY
Here we report the endoscopic diagnosis and treatment of an adult patient with cystic lymphangioma of the ascending colon. One patient who came to our hospital with “dull pain in the left lower abdomen for 2 days” was initially misdiagnosed with a colon cyst according to endoscopy and then underwent endoscopic submucosal dissection. The final pathological results suggested cystic lymphangioma. One year later, no recurrence was found on re-examination via colonoscopy.
CONCLUSION
Cystic lymphangioma in the gastrointestinal tract rarely occurs in adults and is easily misdiagnosed or missed. Endoscopy, imaging, histology, and immunohistochemical staining are useful for diagnosis. Surgical resection is the preferred treatment.
Core Tip: We report an endoscopic diagnosis and treatment of cystic lymphangioma of the ascending colon in adults. Based on a literature review, we summarize the aetiology, symptoms, diagnosis, treatment, and prognosis of cystic lymphangioma. Because the lesion is located in the intestinal cavity, it is extremely rare, providing additional information and reference for future diagnosis and treatment of such cases.
