Ileal polypoid lymphangiectasia bleeding diagnosed and treated by double balloon enteroscopy

Min Seon Park, Beomjae Lee, Dae Hoe Gu, Jeung Hui Pyo, Kyeong Jin Kim, Yun Ho Lee, Moon Kyung Joo, Jong Jae Park, Jae Seon Kim, Young-Tae Bak

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4 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)8440-8444
Number of pages5
JournalWorld Journal of Gastroenterology
Volume19
Issue number45
DOIs
Publication statusPublished - 2013 Dec 11

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Keywords

  • Double balloon endoscopy
  • Endoscopic polypectomy
  • Intestinal lymphangiectasia
  • Small bowel bleeding
  • Solitary ileal polypoid lesion

ASJC Scopus subject areas

  • Gastroenterology

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