Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

A Rare Case of Large Hemolymphangioma in the Small Bowel Mesentery: A Case Report

소장 장간막 기원의 드문 거대 혈액림프관종: 증례 보고

  • Hyun-Jae Lim (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Kyung-Sook Shin (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Jeong-Eun Lee (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Sun-Kyoung You (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Kyung-Hee Kim (Department of Pathology, Chungnam National University Hospital, Chungnam National University School of Medicine)
  • 임현재 (충남대학교 의과대학 충남대학교병원 영상의학과) ;
  • 신경숙 (충남대학교 의과대학 충남대학교병원 영상의학과) ;
  • 이정은 (충남대학교 의과대학 충남대학교병원 영상의학과) ;
  • 유선경 (충남대학교 의과대학 충남대학교병원 영상의학과) ;
  • 김경희 (충남대학교 의과대학 충남대학교병원 병리과)
  • Received : 2022.04.06
  • Accepted : 2022.10.08
  • Published : 2023.03.01
Download PDF
⟨ Previous Next ⟩

Abstract

Hemolymphangioma or hemangiolymphangioma is a rare venolymphatic vascular malformation composed of proliferations or networks of vascular spaces including the lymphatics, capillaries, veins, or arteries. The small bowel is a rare location for hemolymphangioma, and the small bowel mesentery is an even rarer site. Herein, we report a surgically confirmed large complex hemolymphangioma in the small bowel mesentery in a 55-year-old male.

혈관림프종은 혈관종과 림프종 성분으로 구성된 드문 종양으로, 증식된 림프관, 모세혈관, 정맥 또는 동맥과 둘러싸는 결합조직 기질로 구성되어 있다. 소장 기원의 혈관림프종은 매우 드물고 그중 소장 장간막 기원은 극히 드물다. 본 증례 보고에서 수술과 면역 화학 염색을 통하여 확인된 55세 남자 환자의 소장 장간막의 혈관림프종 증례를 보고하고자 한다.

Keywords

Acknowledgement

This work was supported by Chungnam National University Hospital Research Fund, 2022.

References

  1. World Health Organization. WHO classification of tumours: digestive system tumors. 5th ed. Geneva: World Health Organization 2019:476
  2. Du Y, Zhang JN, Zhu LL, Wang Y, Li WP. Haemolymphangioma of the small bowel mesentery in adults: two case reports and a literature review. BMC Gastroenterol 2021;21:273
  3. Zhang DY, Lu Z, Ma X, Wang QY, Sun WL, Wu W, et al. Multiple hemolymphangioma of the visceral organs: a case report and review of the literature. Medicine (Baltimore) 2015;94:e1126
  4. Teng Y, Wang J, Xi Q. Jejunal hemolymphangioma: a case report. Medicine (Baltimore) 2020;99:e18863
  5. Fang YF, Qiu LF, Du Y, Jiang ZN, Gao M. Small intestinal hemolymphangioma with bleeding: a case report. World J Gastroenterol 2012;18:2145-2146 https://doi.org/10.3748/wjg.v18.i17.2145
  6. Huang M, Zhao Q, Chen F, You Q, Jiang T. Atypical appearance of hepatic hemangiomas with contrast-enhanced ultrasound. Oncotarget 2018;9:12662-12670 https://doi.org/10.18632/oncotarget.24185
  7. Antonino A, Gragnano E, Sangiuliano N, Rosato A, Maglio M, De Palma M. A very rare case of duodenal hemolymphangioma presenting with iron deficiency anemia. Int J Surg Case Rep 2014;5:118-121 https://doi.org/10.1016/j.ijscr.2013.12.026
  8. Yang J, Zhang Y, Kou G, Li Y. Jejunum hemolymphangioma causing refractory anemia in a young woman. Am J Gastroenterol 2020;115:810
  9. Levy AD, Cantisani V, Miettinen M. Abdominal lymphangiomas: imaging features with pathologic correlation. AJR Am J Roentgenol 2004;182:1485-1491 https://doi.org/10.2214/ajr.182.6.1821485