A case of lymphangioma of the transverse colon. Report of a case and review of the Japanese literature.:-Report of a Case and Review of the Japanese Literature-

概要

論文の詳細を見る
A case of lymphangioma of the transverse colon in a 30-year-old woman is reported, together with a review of 47 other cases reported in the Japanese literature. The patient visited our department because of lower abdominal pain, but appeared well and laboratory data were normal. Abdominal ultrasonography, computed tomography and barium enema revealed a cystic tumor in the transverse colon. Colon fiberscopic examination showed a soft and smooth-surfaced Yamada Ill-type tumor located about 90cm oral to the anus. The diagnosis of cystic lymphansgioma of the transverse colon was confirmed preoperatively. Because of obstructive symptoms, emergency partial colectomy was performed and the resected tumor measured 3.3× 2.4cm. The tumor was fillled with clear yellow serous fluid, and histologically, it was a cystic lymphangioma arising from the submucosal layer. In a review of the Japanese literaturese, we found reports of successful endoscopic polypectomy for small lymphangiomas : all were less than 2.0 cm in diameter. However we consider that a tumor larger than 2.0 cm could be resected by endoscopic polypectomy following diameter reduction by puncture.
日本大腸肛門病学会の論文