Acta Medica Okayama 80巻 4号
2026-08 発行
Ishikami, Sachiko
Department of Gastroenterological Surgery, Kochi Health Sciences Center
Tamura, Shuta
Department of Gastroenterological Surgery, Kochi Health Sciences Center
Tabuchi, Motoyasu
Department of Gastroenterological Surgery, Kochi Health Sciences Center
Yamamoto, Nao
Department of General Medicine, Kochi Health Sciences Center
Okamoto, Yuki
Department of Gastroenterology and Hepatology, Kochi Health Sciences Center
Yoshimatsu, Rika
Department of Radiology, Kochi Health Sciences Center
Matsumoto, Manabu
Department of Diagnostic Pathology, Kochi Health Sciences Center
Iwata, Jun
Department of Diagnostic Pathology, Kochi Health Sciences Center
Okabayashi, Takehiro
Department of Gastroenterological Surgery, Kochi Health Sciences Center
Lymphangioma is a benign tumor arising from lymphatic vessel proliferation and most commonly occurs in the head, neck, or axilla. Involvement of the small intestine is rare and is often overlooked as a source of obscure gastrointestinal bleeding. Because jejunal lymphangiomas frequently present with nonspecific symptoms and may escape detection by conventional upper and lower gastrointestinal endoscopy or cross-sectional imaging, diagnosis is often delayed. Advances in balloon-assisted enteroscopy have enabled direct visualization of small intestinal lesions, facilitating accurate diagnosis and appropriate therapeutic decision-making. Here, we report a case of jejunal lymphangioma presenting with severe anemia due to active bleeding, which was detected by double-balloon endoscopy and successfully managed by laparoscopic-assisted resection. This case highlights the importance of considering small intestinal lymphangioma in the differential diagnosis of unexplained gastrointestinal bleeding and underscores the clinical utility of deep enteroscopy in identifying rare but clinically significant small bowel tumors.