Ileal polypoid lymphangiectasia bleeding diagnosed and treated by double balloon enteroscopy
- Park, Min Seon; Lee, Beom Jae; Gu, Dae Hoe; Pyo, Jeung-Hui; Kim, Kyeong Jin; Lee, Yun Ho; Joo, Moon Kyung; Park, Jong-Jae; Kim, Jae Seon; Bak, Young-Tae
- Issue Date
- BAISHIDENG PUBLISHING GROUP INC
- Intestinal lymphangiectasia; Small bowel bleeding; Double balloon endoscopy; Solitary ileal polypoid lesion; Endoscopic polypectomy
- WORLD JOURNAL OF GASTROENTEROLOGY, v.19, no.45, pp.8440 - 8444
- Journal Title
- WORLD JOURNAL OF GASTROENTEROLOGY
- Start Page
- End Page
- Intestinal lymphangiectasia is a rare disease characterized by focal or diffuse dilated enteric lymphatics with impaired lymph drainage. It causes protein-losing enteropathy and may lead to gastrointestinal bleeding. Commonly, lymphangiectasia presents as whitish spots or specks. To our knowledge, small bowel bleeding resulting from polypoid intestinal lymphangiectasia has not been reported. Here, we report a rare case of active bleeding from the small bowel caused by polypoid lymphangiectasia with a review of the relevant literature. An 80-year-old woman was hospitalized for melena. Esophagogastroduodenoscopy could not identify the source of bleeding. Subsequent colonoscopy showed fresh bloody material gushing from the small bowel. An abdominal-pelvic contrast-enhanced computed tomography scan did not reveal any abnormal findings. Video capsule endoscopy showed evidence of active and recent bleeding in the ileum. To localize the bleeding site, we performed double balloon enteroscopy by the anal approach. A small, bleeding, polypoid lesion was found in the distal ileum and was successfully removed using endoscopic snare electrocautery. (C) 2013 Baishideng Publishing Group Co., Limited. All rights reserved.
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- 2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles
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