Acta Medica Okayama 80巻 4号
2026-08 発行

Hemorrhage from a Jejunal Lymphangioma

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
Publication Date
2026-08
Abstract
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.
Document Type
Case Report
Keywords
jejunal lymphangioma
double-balloon endoscopy
surgery
ISSN
0386-300X
NCID
AA00508441
JaLC DOI
DOI: